Individual provider Active NPI

Jayson Hamblin Huber, DDS

  • General Practice Dentistry
  • Bethesda, MD
National Provider Identifier
1457433989
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22820 Issued in TX
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

Updated by the provider on Oct 24, 2023

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 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

LicenseStateTypeSpecialty
22820TXMDGeneral 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.

Verify at the official NPI Registry.