Active NPI
Jared Michael Lawson, D.D.S.
- General Practice Dentistry
- Columbia, MD
National Provider Identifier
1679940720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16025
- Practice address
- 8805 Columbia 100 Pkwy
Suite 104
Columbia, MD 21045-2201 - Phone
- (410) 730-2337
- Fax
- (410) 730-4486
- NPI assigned
- Aug 25, 2015
- 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 | 16025 | MD | Primary |
Addresses
Primary practice location
8805 Columbia 100 Pkwy
Suite 104
Columbia, MD 21045-2201
Mailing address
8805 Columbia 100 Pkwy
Suite 104
Columbia, MD 21045-2201
Phone (410) 730-2337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 16, 2015 through Nov 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16025 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1679940720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8805 COLUMBIA 100 PKWY",
"address_2": "SUITE 104",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452201",
"telephone_number": "410-730-2337",
"fax_number": "410-730-4486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8805 COLUMBIA 100 PKWY",
"address_2": "SUITE 104",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452201",
"telephone_number": "410-730-2337",
"fax_number": "410-730-4486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "JARED",
"middle_name": "MICHAEL",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-25",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "16025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.