Active NPI
Samiyra Seymone Ojo, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Plymouth Meeting, PA
National Provider Identifier
1114588019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS042140
- Practice address
- 920 Germantown Pike Ste 112
Plymouth Meeting, PA 19462-7401 - Phone
- (610) 994-1582
- NPI assigned
- Jun 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS042140 | PA | Primary |
Addresses
Primary practice location
920 Germantown Pike Ste 112
Plymouth Meeting, PA 19462-7401
Mailing address
2203 Dorie Dr
West Norriton, PA 19403-1349
Phone (301) 646-0731
Other names 1
- Samiyra Vaughn-Ibrahim
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 |
|---|---|---|---|
| DS042140 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CDH Orthodontics, LLC | Orthodontics and Dentofacial Orthopedics | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Harrisburg, PA
- NPI 1669965521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1114588019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 DORIE DR",
"city": "WEST NORRITON",
"state": "PA",
"postal_code": "194031349",
"telephone_number": "301-646-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 GERMANTOWN PIKE STE 112",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194627401",
"telephone_number": "610-994-1582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJO",
"first_name": "SAMIYRA",
"middle_name": "SEYMONE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-23",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS042140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMIYRA",
"last_name": "VAUGHN-IBRAHIM",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.