Jacob Nathan Kott, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17162 Issued in MD

Practice address

21534 Great Mills Rd
Lexington Park, MD 20653-1204

Phone

(301) 862-3900

Fax

(301) 862-3779

NPI assigned

Sep 14, 2020

Last updated

Sep 18, 2020By the provider in NPPES

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

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1255946596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 TERRAPIN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083128",
            "telephone_number": "443-803-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21534 GREAT MILLS RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531204",
            "telephone_number": "301-862-3900",
            "fax_number": "301-862-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTT",
        "first_name": "JACOB",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Della Jones
• Miranda Jones
• Pascal Kemelong
• John Charles Knowlton, D.D.S.
• Amanda Kohut, ADT
• Bambii Kreal, CAC-AD
• Kristi Larson
• Shannon Rae Leghart, MAT, LAT, ATC ,BSAS
• Lexington Park MD Opco LLC (Chesapeake Shores Nursing Center)
• Lexington Park MD Opco LLC

• General Practice Dentistry in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.