Aswini Kumar Jagadeesh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

15716 Issued in MD

Practice address

13901 Coastal Hwy Ste 4
Ocean City, MD 21842-4476

Phone

(774) 773-5322

Fax

(302) 760-9610

NPI assigned

Apr 16, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1700102605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 COASTAL HWY STE 4",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218424476",
            "telephone_number": "774-773-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 COASTAL HWY STE 4",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218424476",
            "telephone_number": "774-773-5322",
            "fax_number": "302-760-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGADEESH",
        "first_name": "ASWINI",
        "middle_name": "KUMAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-16",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Thomas Greer III, M.D.
• Susan Marie Hamilton
• Pamela D. Hay, LCPC
• Joseph J Inzerillo, MD
• Solomon Aligula Isolio
• Jared Rowan, LLC
• Jean Brauning DMD PA
• Lorraine K. Jenkins, CAC
• John B. Eschenburg, D.D.S., P.C.
• John W Rees Jr P.C.

• Dentist in Ocean City, MD
• Providers in Ocean City, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.