Active NPI
Joseph Vargas, D.D.S.
- General Practice Dentistry
- Crofton, MD
National Provider Identifier
1619127743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14379
- Practice address
- 1667 Crofton Ctr Ste 7
Crofton, MD 21114-1303 - Phone
- (410) 721-2424
- NPI assigned
- Sep 25, 2008
- Last updated
- Aug 18, 2023
- 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 | 14379 | MD | Primary |
Addresses
Primary practice location
1667 Crofton Ctr Ste 7
Crofton, MD 21114-1303
Mailing address
28095 Three Notch Rd
#1A
Mechanicsville, MD 20659-3373
Phone (301) 884-8133
Other practice location 1
28095 Three Notch Rd
#1a
Mechanicsville, MD 20659-3373
Phone (301) 884-8133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 3, 2023 through Apr 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14379 | MD | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garner D Morgan DDS PA & Associates | General Practice | Past | Accepting new patients |
| Luke M. Morgan, D.D.S. and Associates, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Mechanicsville, MD
- NPI 1235206244
-
- General Practice Dentistry
- Mechanicsville, MD
- NPI 1669618211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1619127743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28095 THREE NOTCH RD",
"address_2": "#1A",
"city": "MECHANICSVILLE",
"state": "MD",
"postal_code": "206593373",
"telephone_number": "301-884-8133",
"fax_number": "301-884-0513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1667 CROFTON CTR STE 7",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141303",
"telephone_number": "410-721-2424"
}
],
"practiceLocations": [
{
"address_1": "28095 Three Notch Rd",
"address_2": "#1a",
"address_purpose": "LOCATION",
"city": "Mechanicsville",
"state": "MD",
"postal_code": "206593373",
"country_code": "US",
"telephone_number": "301-884-8133",
"fax_number": "301-884-0513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGAS",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-25",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "14379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.