Individual provider Active NPI

Emily Beryl Ayoki-Otieno, DDS

  • Dentist
  • Gilbertsville, PA
National Provider Identifier
1730569450
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS040723 Issued in PA
Practice address
940 Ruby Cir
Gilbertsville, PA 19525-8414
Phone
(484) 274-7394
NPI assigned
Jun 8, 2015
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040723 PA Primary
Dentist 122300000X DDS09363 IA
Student in an Organized Health Care Education/Training Program 390200000X NY

Addresses

Primary practice location

940 Ruby Cir
Gilbertsville, PA 19525-8414

Mailing address

940 Ruby Cir
Gilbertsville, PA 19525-8414
Phone (484) 274-7394

Other names 1

  • Beryl Emily Ayoki Other name

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
I20161031001226 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6204114937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS09363IAMDDentist
DS040723PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ayoki DDS PC Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1730569450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 RUBY CIR",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195258414",
            "telephone_number": "484-274-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 RUBY CIR",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195258414",
            "telephone_number": "484-274-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOKI-OTIENO",
        "first_name": "EMILY",
        "middle_name": "BERYL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040723",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS09363",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERYL",
            "last_name": "AYOKI",
            "middle_name": "EMILY",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gilbertsville, PA

Sources for this page

Verify at the official NPI Registry.