Organization Active NPI

John C Brummer DDS PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rosedale, MD
National Provider Identifier
1760231005
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JOHN C BRUMMER DDS PA
Practice address
6304 Kenwood Ave Ste 5
Rosedale, MD 21237-4918
Phone
(410) 866-3630
NPI assigned
May 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Dr. John C Brummer, DDSNPI 1346251337
Title
Orthodontist
Phone
(410) 409-9501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

6304 Kenwood Ave Ste 5
Rosedale, MD 21237-4918

Mailing address

3511 Cedar Hammock View CT
Fort Myers, FL 33905-5869
Phone (410) 409-9501

National Provider Directory

National Provider Directory

Locations

6304 Kenwood Ave
Ste 5
Rosedale, MD 21237
Phone (410) 866-3630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1760231005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 CEDAR HAMMOCK VIEW CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055869",
            "telephone_number": "410-409-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 KENWOOD AVE STE 5",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374918",
            "telephone_number": "410-866-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C BRUMMER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "BRUMMER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "410-409-9501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.