Nicolas Andrew Jorge, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16798 Issued in MD

Practice address

3290 N. Ridge Rd Ste#180
Ellicott City, MD 21043

Phone

(410) 480-9111

NPI assigned

May 16, 2019

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nic Jorge Dental, LLC

  • General Practice Dentistry
  • Ellicott City, MD
  • NPI 1821832569
  NPD Authorized official
• Chetna K. Desai, D.D.S, P.C.

  • Dentist
  • Ellicott City, MD
  • NPI 1154415073
  NPD (past)

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1356907166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 N. RIDGE RD STE#180",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21043",
            "telephone_number": "410-480-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 N. RIDGE RD STE#180",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21043",
            "telephone_number": "410-480-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGE",
        "first_name": "NICOLAS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roderick Laramee Jones, NURSE
• Serlea Jones, CPT
• Shana Corrine Jones, LGPC
• Tamara Maureen Jones, MS CCC SLP
• William John Jones, D.C.
• Joseph Remlin'S Counseling Services LLC
• Varghese Joseph
• Journeys Counseling, LLC
• Amy Mieger Journo, OTR
• JP Dodd Inc.

• General Practice Dentistry in Ellicott City, MD
• Providers in Ellicott City, 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 Sep 13, 2023; 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.