Organization Active NPI

John M Hyson III D.D.S. P.a.

  • Endodontics
  • Lutherville, MD
National Provider Identifier
1922101906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7085 Issued in MD
Legal business name
JOHN M HYSON III D.D.S. P.A.
Practice address
1206 York Rd
Suite 200
Lutherville, MD 21093-6217
Phone
(410) 821-5553
Fax
(410) 825-7213
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Miller Hyson III, D.D.S.M.S.D.NPI 1285737262
Title
President
Phone
(410) 821-5553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 7085 MD Primary

Addresses

Primary practice location

1206 York Rd
Suite 200
Lutherville, MD 21093-6217

Mailing address

1206 York Rd
Suite 200
Lutherville, MD 21093-6217
Phone (410) 821-5553

Other identifiers 5

IdentifierTypeStateIssuer
953866OtherPAUNITED CONCORDIA
19811875OtherMDLABCORE
326216OtherMDQUEST
326067OtherMDQUEST
978980OtherPAUNITED CONCORDIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922101906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 YORK RD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936217",
            "telephone_number": "410-821-5553",
            "fax_number": "410-825-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 YORK RD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936217",
            "telephone_number": "410-821-5553",
            "fax_number": "410-825-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M HYSON III D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HYSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-821-5553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S.M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "7085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "953866",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABCORE",
            "identifier": "19811875",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST",
            "identifier": "326216",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST",
            "identifier": "326067",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "978980",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.