Individual provider Active NPI

Justin Josell, D.D.S.

  • Pediatric Dentistry
  • Smyrna, DE
National Provider Identifier
1508211715
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
G1-0001404 Issued in DE
Practice address
51 Huntfield Dr Ste 100
Smyrna, DE 19977-2973
Phone
(302) 508-0037
NPI assigned
Apr 26, 2016
Last updated
Aug 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X G1-0001404 DE Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Student in an Organized Health Care Education/Training Program 390200000X 0442000378 VA

Addresses

Primary practice location

51 Huntfield Dr Ste 100
Smyrna, DE 19977-2973

Mailing address

1713 W 13TH St
Wilmington, DE 19806-4009
Phone (443) 812-5562

Other practice location 1

521 N 11th St
Richmond, VA 23298-5016
Phone (804) 827-1244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20160705000538 MS Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1658663125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0001404DEMDPediatric Dentist
0442000378VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Little Tooth Doctors LLC Pediatric Dentistry CurrentSince Aug 4, 2024 Accepting new patients

Locations

51 Huntfield Dr
Ste 100
Smyrna, DE 19977
Phone (302) 508-0037

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1508211715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 W 13TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064009",
            "telephone_number": "443-812-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 HUNTFIELD DR STE 100",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199772973",
            "telephone_number": "302-508-0037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985016",
            "country_code": "US",
            "telephone_number": "804-827-1244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSELL",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DE",
            "license": "G1-0001404",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0442000378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.