Justin Tyler Ambrose, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

7293 Issued in MD

Practice address

5632 The Alameda
Baltimore, MD 21239-2737

Phone

(410) 435-0008

NPI assigned

Sep 17, 2021

Last updated

Sep 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1912677220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8418 COCO RD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212371843",
            "telephone_number": "443-564-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 THE ALAMEDA",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392737",
            "telephone_number": "410-435-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "JUSTIN",
        "middle_name": "TYLER",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.002025759",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "7293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justin.ambrose@herodvo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5632 The Alameda",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212392737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Bayle McIntosh Ambinder, MD
• Richard Ambinder, M.D.
• Samantha Ambinder, M.S., CCC- SLP
• Arun V. Amble, MD
• Ambro Primary Care and Clinic LLC
• Katherine Ambrose
• Maureen Riley Ambrose, DPT
• Michael Ambrose
• Lara Ambrosi, MD
• Anthony Michael Ambrosino Jr., DC

• Dental Hygienist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dental Hygienist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.