Active NPI
Jacques Philippe Exposito, DDS
- Dentist
- Glen Burnie, MD
National Provider Identifier
1992955124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12223
- Practice address
- 1404 Crain Hwy Ste #110
Glen Burnie, MD 21061-4056 - Phone
- (410) 768-8220
- Fax
- (410) 768-8252
- NPI assigned
- Sep 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12223 | MD | Primary |
Addresses
Primary practice location
1404 Crain Hwy Ste #110
Glen Burnie, MD 21061-4056
Mailing address
1404 Crain Hwy Ste #110
Glen Burnie, MD 21061-4056
Phone (410) 768-8220
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12223 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacques P. Exposito, D.D.S. P.a. | 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.
-
- General Practice Dentistry
- Glen Burnie, MD
- NPI 1356607097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1992955124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 CRAIN HWY STE #110",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614056",
"telephone_number": "410-768-8220",
"fax_number": "410-768-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 CRAIN HWY STE #110",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614056",
"telephone_number": "410-768-8220",
"fax_number": "410-768-8252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXPOSITO",
"first_name": "JACQUES",
"middle_name": "PHILIPPE",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-24",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "12223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.