Justin Middleberg, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS042955 Issued in PA

Practice address

2137 Welsh Rd Ste 1B
Philadelphia, PA 19115-4963

Phone

(215) 676-7846

NPI assigned

Jun 15, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Myorthos Pennsylvania Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Philadelphia, PA
  • NPI 1457011082
  NPD
• Orthodontics Limited PC

  • Dentist
  • Philadelphia, PA
  • NPI 1215987599
  NPD (past)

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1982229084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD STE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 WELSH RD STE 1B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154963",
            "telephone_number": "215-676-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEBERG",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS042955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midatlantic Medevac LLC
• Middle Ground Solutions LLC
• Lynne Middleberg-Warszawski, RPH
• Harold L Middleberg, DMD
• Jordyn Middleberg, DMD
• Hannah Lee Middlestadt, PA-C
• Brady Middlesworth
• Azaria Middleton-Bey
• Joyce Middleton-Moore
• Allison Middleton, LSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.