Dakoda Apodaca-Johnson

Primary specialty

DentistTaxonomy code 122300000X

License

2020020659 Issued in MO

Practice address

3540 Jeffco Blvd Ste 110
Arnold, MO 63010-3999

Phone

(636) 461-0933

NPI assigned

Jul 21, 2020

Last updated

Jul 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MO

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

Practice roles

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.

• Missouri Dental Professionals, Richard Straus, DMD, PC

  dba Linderhof Family Dental Care

  • General Practice Dentistry
  • Arnold, MO
  • NPI 1336369487
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1609484112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 JEFFCO BLVD STE 110",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103999",
            "telephone_number": "636-461-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 JEFFCO BLVD STE 110",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103999",
            "telephone_number": "636-461-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APODACA-JOHNSON",
        "first_name": "DAKODA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2020020659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Americas Best Contacts & Eyeglasses
• Amy Horn Twenty Seven, LLC (Integrative Healthcare Center)
• Shelby Anderson, PLPC
• Amelia Andrade, DPT
• Another Way Counseling Services, Inc.
• Arnold Endodontics - Shelly L. Sarich DDS
• Arnold Family Eyecare, P.C. (Arnold Family Eye Care)
• Arnold Family Medicine LLC
• Arnold Physical Therapy & Sports Medicine LLC
• Arnold Smiles Dental LLC

• Dentist in Arnold, MO
• Providers in Arnold, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.