Individual provider Active NPI

Jason Richard Smithberger, D.D.S.

  • General Practice Dentistry
  • Towson, MD
National Provider Identifier
1952445348
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13275 Issued in MD
Practice address
658 Kenilworth Dr Ste 201
Towson, MD 21204-2334
Phone
(410) 583-9244
Fax
(410) 583-9118
NPI assigned
Feb 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13275 MD Primary

Addresses

Primary practice location

658 Kenilworth Dr Ste 201
Towson, MD 21204-2334

Mailing address

658 Kenilworth Dr Ste 201
Towson, MD 21204-2334
Phone (410) 583-9244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 30, 2025 through Jan 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13275MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
TMJ Facial Pain Center LLC 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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1952445348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 KENILWORTH DR STE 201",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042334",
            "telephone_number": "410-583-9244",
            "fax_number": "410-583-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 KENILWORTH DR STE 201",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042334",
            "telephone_number": "410-583-9244",
            "fax_number": "410-583-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHBERGER",
        "first_name": "JASON",
        "middle_name": "RICHARD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.