Active NPI
Limmond Ayisi Jr., DMD
- Dentist
- Beltsville, MD
National Provider Identifier
1487335717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18117
- Practice address
- 3628 Powder Mill Rd
Beltsville, MD 20705-3501 - Phone
- (301) 937-2233
- NPI assigned
- Jul 28, 2023
- Last updated
- Jul 28, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 18117 | MD | Primary |
Addresses
Primary practice location
3628 Powder Mill Rd
Beltsville, MD 20705-3501
Mailing address
40 Patterson St NE Apt 1104
Washington, DC 20002-8288
Phone (774) 253-2450
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 |
|---|---|---|---|
| 18117 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory V. Keating, D.M.D. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Beltsville, MD
- NPI 1962722298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1487335717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 PATTERSON ST NE APT 1104",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200028288",
"telephone_number": "774-253-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3628 POWDER MILL RD",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053501",
"telephone_number": "301-937-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYISI",
"first_name": "LIMMOND",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.