Birukitawit K Yirefu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17394 Issued in MD

Practice address

22749 Maple Rd
Lexington Park, MD 20653-6305

Phone

(301) 863-8822

NPI assigned

Apr 20, 2021

Last updated

Feb 23, 2023By the provider in NPPES

Sex

Female

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jenny O. Hawkins DDS PC

  dba Pax Dental

  • General Practice Dentistry
  • Lexington Park, MD
  • NPI 1346946548
  NPD

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1144801234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 VEIRS MILL RD APT 1013",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22749 MAPLE RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206536305",
            "telephone_number": "301-863-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3070 Crain Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206012831",
            "country_code": "US",
            "telephone_number": "301-645-3556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIREFU",
        "first_name": "BIRUKITAWIT",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Nicole Williams, RDN, LDN
• Taylor Winston
• Worthy of Healing LLC
• Bethany Yates, LCSW-C
• Jiakun Yi, RD
• Sophia G Young, B.A., M.S.A., M.A.
• Your Best Life Home Health Care, LLC (Nurse Next Door, Southern Maryland)

• General Practice Dentistry in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.