Individual provider Active NPI

Jennifer N Forshey, DMD, MD

  • Oral and Maxillofacial Pathology Dentistry
  • Westminster, MD
National Provider Identifier
1881614600
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
13760 Issued in MD
Practice address
1130 Baltimore Blvd
Unit C-1
Westminster, MD 21157-7098
Phone
(410) 982-0650
Fax
(410) 982-0655
NPI assigned
Jul 21, 2006
Last updated
Oct 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 13760 MD Primary

Addresses

Primary practice location

1130 Baltimore Blvd
Unit C-1
Westminster, MD 21157-7098

Mailing address

1130 Baltimore Blvd
Unit C-1
Westminster, MD 21157-7098
Phone (410) 982-0650

Other identifiers 2

IdentifierTypeStateIssuer
1011477340001MedicaidPA
205396MedicaidMD

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150603001126 MD Order and Referring Only - Oral SurgeryPractitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 0143279489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Oral & Maxillofacial Surgeons, PC PastSince Oct 1, 2002 Accepting new patients
Dr Michael Ryan PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Mid-Maryland Oral and Maxillofacial Surgery PA PastSince Dec 16, 2013 Accepting new patients
Cornerstone Oral & Maxillofacial Surgery, LLC Past Accepting new patients
Lititz Oral Surgery PastSince Jul 1, 2018 Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1881614600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 BALTIMORE BLVD",
            "address_2": "UNIT C-1",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577098",
            "telephone_number": "410-982-0650",
            "fax_number": "410-982-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BALTIMORE BLVD",
            "address_2": "UNIT C-1",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577098",
            "telephone_number": "410-982-0650",
            "fax_number": "410-982-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSHEY",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MD",
            "license": "13760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011477340001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205396",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.