NPIMap

Organization Active NPI

Jacques P. Exposito, D.D.S. P.a.

  • General Practice Dentistry
  • Glen Burnie, MD
National Provider Identifier
1356607097
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12223 Issued in MD
Legal business name
JACQUES P. EXPOSITO, D.D.S. P.A.
Practice address
1404 Crain Hwy S
Suite 110
Glen Burnie, MD 21061-4085
Phone
(410) 768-8220
Fax
(410) 768-8252
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Mr. Jacques Philippe Exposito, D.D.S.NPI 1992955124
Title
President/Owner
Phone
(410) 768-8220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12223 MD Primary

Addresses

Primary practice location

1404 Crain Hwy S
Suite 110
Glen Burnie, MD 21061-4085

Mailing address

1404 Crain Hwy S
Suite 110
Glen Burnie, MD 21061-4085
Phone (410) 768-8220

National Provider Directory

National Provider Directory

Locations

1404 Crain Hwy S
Ste 110
Glen Burnie, MD 21061
Phone (410) 768-8220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1356607097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 CRAIN HWY S",
            "address_2": "SUITE 110",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614085",
            "telephone_number": "410-768-8220",
            "fax_number": "410-768-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 CRAIN HWY S",
            "address_2": "SUITE 110",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614085",
            "telephone_number": "410-768-8220",
            "fax_number": "410-768-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUES P. EXPOSITO, D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "EXPOSITO",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_middle_name": "PHILIPPE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "410-768-8220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.