Wisdom D Akpaka, DDS
Individual provider Active NPI Dentist · Boardman, OH
NPI 1114338738 · NPPES record last updated Jan 4, 2015
Key facts
- NPI
- 1114338738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30.024305 (OH)
- Practice address
- 930 Boardman Poland Rd
Boardman, OH 44512-5117 - Phone
- (330) 629-8884
- Fax
- (216) 584-1070
- NPI assigned
- May 16, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 2, 2025 through Apr 2, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.024305 | OH | MD | Dentist |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ave Maria Dentistry | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.024305 | OH | Yes |
Addresses
Primary practice location
930 Boardman Poland Rd
Boardman, OH 44512-5117
Mailing address
4078 Rotterdam Pass
Hampton, GA 30228-6077
Phone (678) 650-2198
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.