Individual provider Active NPI

Jahnelle Danica McLennan, DDS

  • Dentist
  • Hunt Valley, MD
National Provider Identifier
1871012278
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1001769 Issued in DC
Practice address
5 Shawan Rd Ste 2
Hunt Valley, MD 21030
Phone
(410) 891-8547
Fax
(443) 281-8320
NPI assigned
Sep 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN1001769 DC Primary

Addresses

Primary practice location

5 Shawan Rd Ste 2
Hunt Valley, MD 21030

Mailing address

5 Shawan Rd Ste 2
Hunt Valley, MD 21030-1373
Phone (410) 891-8547

Other practice location 1

729 8th St SE
Washington, DC 20003-2823
Phone (202) 546-2202

Other practice location 2

729 8th St SE
Washington, DC 20003-2823
Phone (202) 546-2202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN1001769DCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Washington Dental Health Care Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1871012278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SHAWAN RD STE 2",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301373",
            "telephone_number": "410-891-8547",
            "fax_number": "443-281-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SHAWAN RD STE 2",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21030",
            "telephone_number": "410-891-8547",
            "fax_number": "443-281-8320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "729 8th St SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200032823",
            "country_code": "US",
            "telephone_number": "202-546-2202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "729 8th St SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200032823",
            "country_code": "US",
            "telephone_number": "202-546-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLENNAN",
        "first_name": "JAHNELLE",
        "middle_name": "DANICA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-17",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.