Daniel Owusu-Antwi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS043953 Issued in PA

Practice address

1501 E Wadsworth Ave
Philadelphia, PA 19150-1605

Phone

(215) 914-8188

Fax

(215) 702-6080

NPI assigned

Dec 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Freedom Dental Care PA PLLC

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1588546501
  NPD (past)

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1104538941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E WADSWORTH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501605",
            "telephone_number": "215-914-8188",
            "fax_number": "215-702-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E WADSWORTH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501605",
            "telephone_number": "215-914-8188",
            "fax_number": "215-702-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU-ANTWI",
        "first_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-22",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Edward Owens, DSW
• Widia Owens, CRNP, FNP-C
• Shawn Owiredu, MD
• Robert T Ownbey, MD
• Ademola Maroof Owodunni, MSW
• Jacqueline Owusu-McKenzie, MD
• Marissa Rose Oxenford, DPT
• Oxford Circle Family Medicine LLC
• Oxford Circle Family Medicine LLC
• Oxford Dental LLC

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.