Active NPI
Jeffrey Christopher Toothman, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hagerstown, MD
National Provider Identifier
1356496921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 14635
- Practice address
- 81 N Edgewood Dr
Hagerstown, MD 21740-6501 - Phone
- (301) 791-1770
- Fax
- (301) 791-7706
- NPI assigned
- Jan 24, 2007
- Last updated
- Sep 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14635 | MD | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 14635 | MD | Primary |
Addresses
Primary practice location
81 N Edgewood Dr
Hagerstown, MD 21740-6501
Mailing address
81 N Edgewood Dr
Hagerstown, MD 21740-6501
Phone (301) 791-1770
Other practice location 1
5100 Buckeystown Pike Ste 196
Frederick, MD 21704-8337
Phone (301) 662-3366
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598106056 | Other | MD | LLC |
| 1033636634 | Other | MD | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14635 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toothman Orthodontics, PA | Current | Accepting new patients |
Locations
81 N Edgewood Dr
Hagerstown, MD 21740
Phone (301) 791-1770
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.
-
- Dental Clinic/Center
- Hagerstown, MD
- NPI 1033636634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1356496921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 N EDGEWOOD DR",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406501",
"telephone_number": "301-791-1770",
"fax_number": "301-791-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 N EDGEWOOD DR",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406501",
"telephone_number": "301-791-1770",
"fax_number": "301-791-7706"
}
],
"practiceLocations": [
{
"address_1": "5100 Buckeystown Pike Ste 196",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217048337",
"country_code": "US",
"telephone_number": "301-662-3366",
"fax_number": "301-662-3362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOOTHMAN",
"first_name": "JEFFREY",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "14635",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "14635",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LLC",
"identifier": "1598106056",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA",
"identifier": "1033636634",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.