Individual provider Active NPI

John Belmore Eschenburg, DDS

  • General Practice Dentistry
  • Ocean City, MD
National Provider Identifier
1356468144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7512 Issued in MD
Practice address
4306 Coastal Hwy
Ocean City, MD 21842-3242
Phone
(410) 289-8828
Fax
(410) 723-5080
NPI assigned
Mar 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7512 MD Primary

Addresses

Primary practice location

4306 Coastal Hwy
Ocean City, MD 21842-3242

Mailing address

4306 Coastal Hwy
Ocean City, MD 21842-3242
Phone (410) 289-8828

Medicare participation

Medicare enrollment files
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 9, 2015 through Jan 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7512MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John B. Eschenburg, D.D.S., P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356468144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 COASTAL HWY",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218423242",
            "telephone_number": "410-289-8828",
            "fax_number": "410-723-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 COASTAL HWY",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218423242",
            "telephone_number": "410-289-8828",
            "fax_number": "410-723-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHENBURG",
        "first_name": "JOHN",
        "middle_name": "BELMORE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, MD

Sources for this page

Verify at the official NPI Registry.