Jay McEachern Jr.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9224 Issued in MD

Practice address

2401 Belair Rd
Ste 104
Baltimore, MD 21213-1200

Phone

(410) 522-5777

NPI assigned

Feb 3, 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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 26, 2016 through Jan 26, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Dreams, LLC

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1417278235
  NPD (past)
• Walter S. Hong, D.D.S., P.a.

  • Dental Clinic/Center
  • Pasadena, MD
  • NPI 1063558617
  NPD (past)

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1295873818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N CLARK ST STE 600",
            "address_2": "C/O KOS SERVICES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BELAIR RD",
            "address_2": "STE 104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131200",
            "telephone_number": "410-522-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEACHERN",
        "first_name": "JAY",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Dominique McDowell, NURSE PRACTITIONER
• Cleo K McDuffie, LCPC, CAC-AD
• Eric Lamont McDuffie
• Thomasine Antwanette McDuffie
• John McDyer
• Duncan McElfresh, CRNA
• Judy A McElfresh, PT
• Colleen Rose McElroy, MS CCC SLP
• Tiffany A McElroy, PTA
• Robyn McElwee, SLP

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, 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 Jun 9, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.