NPIMap

Organization Active NPI

Jason Paul Elliott DDS LLC

  • Dental Clinic/Center
  • Linthicum, MD
National Provider Identifier
1255501854
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12815 Issued in MD
Legal business name
JASON PAUL ELLIOTT DDS LLC
Practice address
809 N Hammonds Ferry Rd
Linthicum, MD 21090-1317
Phone
(410) 789-6111
NPI assigned
Mar 10, 2008
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Jason Paul Elliott, DDSNPI 1013140359
Title
Member
Phone
(443) 622-3180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12815 MD Primary

Addresses

Primary practice location

809 N Hammonds Ferry Rd
Linthicum, MD 21090-1317

Mailing address

1202 Harbor Island Walk
Baltimore, MD 21230-5460
Phone (443) 622-3180

National Provider Directory

National Provider Directory

Locations

809 N Hammonds Ferry Rd
Linthicum, MD 21090
Phone (410) 789-6111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1255501854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 HARBOR ISLAND WALK",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305460",
            "telephone_number": "443-622-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N HAMMONDS FERRY RD",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210901317",
            "telephone_number": "410-789-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON PAUL ELLIOTT DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "443-622-3180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "12815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.