NPIMap

Individual provider Active NPI

Orville John, D.D.S.

  • Dentist
  • La Plata, MD
National Provider Identifier
1912301201
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7066 Issued in MD
Practice address
6620 Crain Hwy
Suite 204
La Plata, MD 20646-5204
Phone
(301) 870-3966
NPI assigned
Oct 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7066 MD Primary
Dentist 122300000X 3614 DC

Addresses

Primary practice location

6620 Crain Hwy
Suite 204
La Plata, MD 20646-5204

Mailing address

6620 Crain Hwy
Suite 204
La Plata, MD 20646-5204
Phone (301) 870-3966

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
3614DCMDDentist
7066MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smalltowne Dental LLC PastSince Mar 11, 2025 Accepting new patients
O W John & Assc Past Accepting new patients

Organizations & group practices 2

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": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1912301201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 CRAIN HWY",
            "address_2": "SUITE 204",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465204",
            "telephone_number": "301-870-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 CRAIN HWY",
            "address_2": "SUITE 204",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465204",
            "telephone_number": "301-870-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "ORVILLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "7066",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "3614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.