Kennedy Nnamdi Chioma, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18128 Issued in MD

Practice address

7839 Eastern Ave
Baltimore, MD 21224

Phone

(410) 304-6961

NPI assigned

Jun 25, 2024

Sex

Male

Sole proprietor

Yes

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1356186142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 NICOL CIR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212851",
            "telephone_number": "313-694-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7839 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-304-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIOMA",
        "first_name": "KENNEDY",
        "middle_name": "NNAMDI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Chinsky, MD
• Sudhi Chintrisna, M.D.
• Rosalyn Chiodi-Hicks, BS,CACAD
• Judith Ann Chioli, PHARMD, CGP
• Cassandra Ogechi Chioma, MD
• Judith L Chipchin, M.D.
• Portia Irene Chipendo
• Chippewa Optical LLC
• Joseph Anthony Chirico, MD
• Ana Chirinos

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, 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 Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.