DR. JEREMY KEITH MASENIOR DDS
NPI 1740508613
Dentist - General Practice in Princess Anne, MD

Active since May 17, 2010PECOS Enrolled
12165 ELM ST, PRINCESS ANNE, MD 21853(410) 651-5151(410) 651-4256 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeremy Keith Masenior Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY KEITH MASENIOR DDS (NPI 1740508613) is an individual general practice provider in Princess Anne, Maryland, licensed in Maryland (15315) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740508613
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEREMY KEITH MASENIORCredential: DDS
Location Address12165 ELM STPrincess Anne, MD 21853-1358
Mailing AddressPo Box 1978Salisbury, MD 21802-1978 · (410) 749-1015 · Fax (410) 749-0654
Fax(410) 651-4256
Sole ProprietorNo
Enumeration DateMay 17, 2010
Last NPPES UpdateMarch 14, 2016
NPI 1740508613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MD · 15315
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License DT2403 (HI)
12165 ELM ST, Princess Anne, MD 21853

Other Identifiers 1

Medicaid119591300MD

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jeremy Keith Masenior Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21853 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (General Practice)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (General Practice)
12165 ELM ST
PRINCESS ANNE, MD 21853

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Masenior's NPI number?

The NPI number for Jeremy Masenior is 1740508613. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Where is Jeremy Masenior located?

Jeremy Masenior practices at 12165 Elm St, Princess Anne, MD 21853. The listed phone number is (410) 651-5151.

What is Jeremy Masenior's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jeremy Masenior enrolled in Medicare?

Yes. Jeremy Masenior is registered in the Medicare PECOS enrollment system.

What insurance does Jeremy Masenior accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jeremy Masenior as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremy Masenior was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.