Individual provider Active NPI

Ifeoma Essien, D.D.S.

  • General Practice Dentistry
  • Accokeek, MD
National Provider Identifier
1487048625
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16584 Issued in MD
Practice address
15638 Livingston Rd Ste 9
Accokeek, MD 20607-3340
Phone
(404) 936-9092
NPI assigned
Mar 25, 2015
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16584 MD Primary

Addresses

Primary practice location

15638 Livingston Rd Ste 9
Accokeek, MD 20607-3340

Mailing address

2008 University Blvd W
Silver Spring, MD 20902-4424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160721000116 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9335432830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16584MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
One Smile at a Time, LLC General Practice CurrentSince Nov 6, 2022 Accepting new patients

Locations

15638 Livingston Rd
Ste 9
Accokeek, MD 20607
Phone (404) 936-9092

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1487048625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 UNIVERSITY BLVD W",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15638 LIVINGSTON RD STE 9",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073340",
            "telephone_number": "404-936-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSIEN",
        "first_name": "IFEOMA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Accokeek, MD

Sources for this page

Verify at the official NPI Registry.