John Joseph Mennitt, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7207 Issued in MD

Practice address

18109 Prince Philip Dr
Suite 245
Olney, MD 20832-1519

Phone

(301) 924-2155

Fax

(301) 924-2376

NPI assigned

Dec 14, 2005

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 Nov 1, 2015 through Nov 1, 2027

Medicare enrollment (NPD)

Enrolled

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.

• DRS Mennitt & Daly, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Olney, MD
  • NPI 1154369569
  NPD (past) Authorized official
• Anis Tebyanian DMD MD PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Olney, MD
  • NPI 1609487891
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1316922263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR",
            "address_2": "SUITE 245",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321519",
            "telephone_number": "301-924-2155",
            "fax_number": "301-924-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR",
            "address_2": "SUITE 245",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321519",
            "telephone_number": "301-924-2155",
            "fax_number": "301-924-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNITT",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "7207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medstar Urgent Care LLC
• Behzad Mehdi Khabazian, DPT
• Mehndiratta, PA
• Nicholas Mehta, M.D.
• Dominick Memoli
• Nana A Mensah, FNP, AANP
• Yael Y Meredith
• Meridian Anesthesia Practice, L.L.C
• Meridian Anesthesia Practice, LLC
• Charles Francis Mess Sr., M.D.

• Oral and Maxillofacial Surgery (Dentist) in Olney, MD
• Providers in Olney, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.