John Kelmenson,DDS,LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7643 Issued in MD

Legal business name

JOHN KELMENSON,DDS,LLC

Practice address

7939 Honeygo Blvd
Suite 214
Nottingham, MD 21236-4931

Phone

(410) 933-1099

Fax

(410) 933-6616

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Kelmenson, DDSNPI 1669692968

Title

Partner

Phone

(410) 933-1099

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Kelmenson, DDS

  • General Practice Dentistry
  • Nottingham, MD
  • NPI 1669692968
  NPD (past) Authorized official
• Marcia A. Gordon, D.D.S.

  • General Practice Dentistry
  • Nottingham, MD
  • NPI 1073721163
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447469929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7939 HONEYGO BLVD",
            "address_2": "SUITE 214",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364931",
            "telephone_number": "410-933-1099",
            "fax_number": "410-933-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7939 HONEYGO BLVD",
            "address_2": "SUITE 214",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364931",
            "telephone_number": "410-933-1099",
            "fax_number": "410-933-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KELMENSON,DDS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELMENSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-933-1099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Nottingham, MD
• Providers in Nottingham, 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 Aug 22, 2020; 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.