John Stuart Renzi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18506 Issued in MD

Practice address

401 E Pratt St
Baltimore, MD 21202-3117

Phone

(443) 868-2800

NPI assigned

Sep 23, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1801613856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 SPLIT RAIL CT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524423",
            "telephone_number": "240-595-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023117",
            "telephone_number": "443-868-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Olney Sandy Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Ashton",
            "state": "MD",
            "postal_code": "208613656",
            "country_code": "US",
            "telephone_number": "301-900-3722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENZI",
        "first_name": "JOHN",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Boyle Renner, PT
• Lauren Alexandra Renner, CRNP
• Jodi Rochelle Rennert-Ariev, M.D.
• Dorren Rennes
• Nely Renteria Almaraz
• Meghan Frances Renzi, LGSW
• Peggy Sue Renzi
• Molly Elizabeth Repecki, MS, RD, LDN
• Michael Xavier Repka, M.D.
• Reprise Recovery LLC

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.