Individual provider Active NPI

John Francis Uphoff, D.D.S.

  • General Practice Dentistry
  • Rockville, MD
National Provider Identifier
1902881741
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14243 Issued in MD
Practice address
15020 Shady Grove Rd
Suite 325
Rockville, MD 20850-3364
Phone
(301) 738-2111
Fax
(301) 738-6438
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28400 CA
General Practice Dentistry 1223G0001X 14243 MD Primary

Addresses

Primary practice location

15020 Shady Grove Rd
Suite 325
Rockville, MD 20850-3364

Mailing address

15020 Shady Grove Rd
Suite 325
Rockville, MD 20850-3364
Phone (301) 738-2111

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
28400CAMDClinical Social Worker
14243MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Key West Crossing Dental Associates 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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1902881741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15020 SHADY GROVE RD",
            "address_2": "SUITE 325",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503364",
            "telephone_number": "301-738-2111",
            "fax_number": "301-738-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15020 SHADY GROVE RD",
            "address_2": "SUITE 325",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503364",
            "telephone_number": "301-738-2111",
            "fax_number": "301-738-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPHOFF",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28400",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.