Active NPI
Jayson Hamblin Huber, DDS
- General Practice Dentistry
- Bethesda, MD
National Provider Identifier
1457433989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22820
- Practice address
- Nmlpdc - NPDS Comprehensive Dentistry 8955 Wood Rd
Bethesda, MD 20889-1134 - Phone
- (301) 295-5442
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22820 | TX | Primary |
Addresses
Primary practice location
Nmlpdc - NPDS Comprehensive Dentistry 8955 Wood Rd
Bethesda, MD 20889-1134
Mailing address
14845 Bauer Dr
Rockville, MD 20853-3641
Phone (928) 446-8144
Other practice location 1
1710 Doolittle Ave
Fort Worth, TX 76127-1134
Phone (817) 782-5905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22820 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1457433989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14845 BAUER DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208533641",
"telephone_number": "928-446-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NMLPDC - NPDS COMPREHENSIVE DENTISTRY 8955 WOOD RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208891134",
"telephone_number": "301-295-5442"
}
],
"practiceLocations": [
{
"address_1": "1710 Doolittle Ave",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761271134",
"country_code": "US",
"telephone_number": "817-782-5905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBER",
"first_name": "JAYSON",
"middle_name": "HAMBLIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.