Jesmane Antenor

Primary specialty

DriverTaxonomy code 172A00000X

License

W21830419 Issued in MD

Practice address

1613 Moffet Rd
Silver Spring, MD 20903-1936

Phone

(240) 643-7477

NPI assigned

Jun 8, 2026

Last updated

Jun 8, 2026By the provider in NPPES

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

Other names 1

• Samuel A Antenor Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1467385377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 MOFFET RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031936",
            "telephone_number": "240-643-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 MOFFET RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031936",
            "telephone_number": "240-643-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTENOR",
        "first_name": "JESMANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MD",
            "license": "W21830419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMUEL",
            "last_name": "ANTENOR",
            "middle_name": "A",
            "credential": "ANTENOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Driver in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Driver in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.