Jonathan Bacon, D.D.S.
Jonathan Bacon, D.D.S. is a provider specialising in Dental Anesthesiology in Baltimore, MD, registered under NPI 1811336142. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 2700 QUARRY LAKE DR STE 190, Baltimore, MD 21209. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 15309 | MD | Dental Anesthesiology primary |
| 15309 | MD | Pediatric Dentistry |
This provider holds licence 15309 issued in MD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Oral Surgery
- PAC ID
- 6608093216
- Enrollment ID
- I20140805002157
Medicare enrolment is recorded as approved under the provider type Practitioner - Oral Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Dental Anesthesiology covers
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. NUCC Health Care Provider Taxonomy, code 1223D0004X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223D0004X | Dental Anesthesiology Dental Anesthesiology | 15309 | MD | primary |
| 1223P0221X | Pediatric Dentistry Pediatric Dentistry | 15309 | MD |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1811336142 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 20, 2013 |
| Last updated | Oct 9, 2019 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | D.D.S. |
| Practice address |
2700 QUARRY LAKE DR STE 190 Baltimore, MD 21209 (410) 484-4401 |
| Mailing address |
1220 CARAWAY CT STE 1050 Upper Marlboro, MD 20774 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 1 | 1 | 3 | 3 | 6 | 1 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 2 | 1 | 6 | 3 | 3 | 1 | 8 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.