Individual provider Active NPI

Juana Clelia Horn, DDS

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1396806972
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS031327L Issued in PA
Practice address
850 N 11TH St
Philadelphia, PA 19123-1957
Phone
(215) 769-1100
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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 DS031327L PA Primary

Addresses

Primary practice location

850 N 11TH St
Philadelphia, PA 19123-1957

Mailing address

154 Prospect St
Merchantville, NJ 08109-2629
Phone (215) 917-6575

Other identifiers 1

IdentifierTypeStateIssuer
001841342MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210927000334 PA Practitioner - Dentist 5092029041 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Liberty Family Health Care Center, Inc. CurrentSince Sep 1, 2021 Accepting new patients
East Liberty Family Health Care Center, Inc. Current Accepting new patients
Family Practice & Counseling Services Network General Practice CurrentSince Dec 22, 2025 Accepting new patients
East Liberty Family Health Care Center, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Dec 22, 2025 Accepting new patients

Locations

850 N 11th St
Philadelphia, PA 19123
Phone (215) 685-2684

4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771

7157 Mary Peck Bond Pl
Pittsburgh, PA 15206
Phone (412) 345-0412

Interoperability endpoints

  • Direct secure messaging: jhorn666557@direct.ochin.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1396806972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 PROSPECT ST",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092629",
            "telephone_number": "215-917-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N 11TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231957",
            "telephone_number": "215-769-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "JUANA",
        "middle_name": "CLELIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031327L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001841342",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.