Individual provider Active NPI

David Juhn, DDS

  • Pediatric Dentistry
  • District Heights, MD
National Provider Identifier
1285067454
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
15825 Issued in MD
Practice address
6471 Marlboro Pike
District Heights, MD 20747-2843
Phone
(240) 455-5425
NPI assigned
Aug 12, 2013
Reactivated
Jul 24, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856362 MA
Pediatric Dentistry 1223P0221X 15825 MD Primary

Addresses

Primary practice location

6471 Marlboro Pike
District Heights, MD 20747-2843

Mailing address

3029 Boones LN
Ellicott City, MD 21042-2133
Phone (410) 750-3198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1856362MAMDDentist
15825MDMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Starkandjuhnllc Pediatric Dentistry Current Accepting new patients
Juhn and Stark LLC Pediatric Dentistry Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1285067454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 BOONES LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422133",
            "telephone_number": "410-750-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6471 MARLBORO PIKE",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472843",
            "telephone_number": "240-455-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUHN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-12",
        "last_updated": "2019-07-24",
        "deactivation_date": "2019-05-22",
        "reactivation_date": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856362",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "15825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in District Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.