Active NPI
Karen Y Jo, DDS
- Periodontics
- Silver Spring, MD
National Provider Identifier
1245729557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 16867
- Practice address
- 10801 Lockwood Dr Ste 240
Silver Spring, MD 20901-1563 - Phone
- (301) 681-4812
- NPI assigned
- May 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Periodontics | 1223P0300X | 16867 | MD | Primary |
Addresses
Primary practice location
10801 Lockwood Dr Ste 240
Silver Spring, MD 20901-1563
Mailing address
2115 Henson Norris St
Rockville, MD 20850-6578
Phone (240) 449-7419
Other practice location 1
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180806002097 | NC | Order and Referring Only - Dentist | 1850649914 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16867 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Bennett DDS MSD LLC | Periodontics | Current | Accepting new patients |
| Craig M. Gayton DDS P.C. | Periodontics | Past | Accepting new patients |
Locations
10801 Lockwood Dr
Ste 240
Silver Spring, MD 20901
Phone (301) 681-4812
Organizations & group practices 2
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.
-
- Periodontics
- Silver Spring, MD
- NPI 1578216743
-
- Periodontics
- Silver Spring, MD
- NPI 1548713167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1245729557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 HENSON NORRIS ST",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506578",
"telephone_number": "240-449-7419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 LOCKWOOD DR STE 240",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011563",
"telephone_number": "301-681-4812"
}
],
"practiceLocations": [
{
"address_1": "101 Manning Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275144220",
"country_code": "US",
"telephone_number": "984-974-1485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JO",
"first_name": "KAREN",
"middle_name": "Y",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "16867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.