Organization Active NPI

Justin Kleinman

  • Periodontics
  • Westminster, MD
National Provider Identifier
1386460152
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
JUSTIN KLEINMAN
Practice address
531 Old Westminster Pike Ste 100-101
Westminster, MD 21157-6273
Phone
(410) 857-5700
Fax
(410) 876-0261
NPI assigned
Nov 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Justin Kleinman, DMDNPI 1174676340
Title
Periodontics
Phone
(410) 857-5700

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

531 Old Westminster Pike Ste 100-101
Westminster, MD 21157-6273

Mailing address

531 Old Westminster Pike Ste 100-101
Westminster, MD 21157-6273
Phone (410) 857-5700

Other names 1

  • Carroll Periodontics, Endodontics & Implant Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

531 Old Westminster Pike
Ste 100101
Westminster, MD 21157
Phone (410) 857-5700

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": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1386460152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 OLD WESTMINSTER PIKE STE 100-101",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576273",
            "telephone_number": "410-857-5700",
            "fax_number": "410-876-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 OLD WESTMINSTER PIKE STE 100-101",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576273",
            "telephone_number": "410-857-5700",
            "fax_number": "410-876-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN KLEINMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "KLEINMAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PERIODONTICS",
        "authorized_official_telephone_number": "410-857-5700",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carroll Periodontics, Endodontics & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.