Active NPI
Bruce David Finagin, DDS
- General Practice Dentistry
- Lexington Park, MD
National Provider Identifier
1871586800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12045
- Practice address
- 46935 S Shangri la Dr
Suite 16
Lexington Park, MD 20653-1041 - Phone
- (301) 863-8300
- Fax
- (301) 863-9950
- NPI assigned
- Aug 24, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12045 | MD | Primary |
| Prosthodontics | 1223P0700X | 12045 | MD |
Addresses
Primary practice location
46935 S Shangri la Dr
Suite 16
Lexington Park, MD 20653-1041
Mailing address
46935 S Shangri la Dr
Suite 16
Lexington Park, MD 20653-1041
Phone (301) 863-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150722003578 | MD | Order and Referring Only - Dentist | 0042523961 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12045 | MD | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1871586800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46935 S SHANGRI LA DR",
"address_2": "SUITE 16",
"city": "LEXINGTON PARK",
"state": "MD",
"postal_code": "206531041",
"telephone_number": "301-863-8300",
"fax_number": "301-863-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46935 S SHANGRI LA DR",
"address_2": "SUITE 16",
"city": "LEXINGTON PARK",
"state": "MD",
"postal_code": "206531041",
"telephone_number": "301-863-8300",
"fax_number": "301-863-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINAGIN",
"first_name": "BRUCE",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "12045",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MD",
"license": "12045",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington Park, MD
- Fairland Market Inc. (McKay's Pharmacy)
- Fairland Market, Inc. (McKay's Food and Pharmacy)
- Family Care Pharmacy LLC (Family Care Pharmacy)
- Deborah Finer Feldman, MA
- Christine Gail Fenton, L.C.P.C.
- Joanne Gay, LCSW-C
- Ricki Gemmel, M.S., F-MAA
- Gentle Green Dental Care LLC
- Global Community Pharmacy
- Jacqueline Dale Grantland, LCPC, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.