Justin Kleinman

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12372 Issued in MD

Practice address

531 Old Westminster Pike Ste 100-101
Westminster, MD 21157-6273

Phone

(108) 575-7004

Fax

(410) 876-0261

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Justin Kleinman

  dba Carroll Periodontics, Endodontics & Implant Dentistry

  • Periodontics
  • Westminster, MD
  • NPI 1386460152
  NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1174676340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MALCOLM DR STE A",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576107",
            "telephone_number": "410-857-5700",
            "fax_number": "410-876-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 OLD WESTMINSTER PIKE STE 100-101",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576273",
            "telephone_number": "108-575-7004",
            "fax_number": "410-876-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINMAN",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "12372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria C King, LGPC
• Carolyn Denise Kinnear, MS, LGPC
• Gregory Michael Kirby
• Harvey W. Klein, D.D.S.
• Melanie Klein
• Gloria Azeke Klimen, MD
• Peggy J Klucina, P.A.
• Charles Taylo Kluge, PA
• Joshua John Knauer, RPH
• Jennifer Knight, MS, OTR/L

• Periodontics in Westminster, MD
• Providers in Westminster, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.