John Chukwuedum Aniemeke, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

24642 Issued in TX

Practice address

4145 St Charles Bay
San Antonio, TX 78229-2085

Phone

(210) 548-0440

NPI assigned

Jan 21, 2009

Last updated

Jun 3, 2012By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338681600000",
    "number": "1518105071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 ST CHARLES BAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292085",
            "telephone_number": "210-548-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 ST CHARLES BAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292085",
            "telephone_number": "210-548-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIEMEKE",
        "first_name": "JOHN",
        "middle_name": "CHUKWUEDUM",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2012-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "24642",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shammi J. Anholt, PT
• Judy Aniceto, P.T.
• Patricia Tokunbo Aniekwena, NURSE PRACTITIONER
• Chidinma Aniemeke, MD
• Esther Oluwakemi Aniemeke, DDS
• Kendall Anigian, M.D.
• Smitha Animireddy, PHARMACIST
• Anita M Johnston L P C P a
• Anita's Homehealth
• Aniya's Loving Hands Care LLC

• Periodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2012; 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.