Akendra S Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16928 Issued in MD

Practice address

30 Audrey LN
Oxon Hill, MD 20745-1301

Phone

(301) 567-5437

NPI assigned

May 11, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ib Dental II, P.C.

  • General Practice Dentistry
  • Oxon Hill, MD
  • NPI 1548661614
  NPD (past)

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1730701822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AUDREY LN",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451301",
            "telephone_number": "301-567-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AUDREY LN",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451301",
            "telephone_number": "301-567-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AKENDRA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanek Latrice Jenkins, D.D.S.
• Kyra Deshawn Jennings
• Darryl Kim Jernigan
• Lorin Jimenez-Rivera, LGPC
• Prisca Jinor
• Ashley Renee Johnson, CNA
• Dinisha Johnson
• Jonni Melea Johnson
• Jordan Tiera Johnson, LCPC
• Nicola Johnson

• General Practice Dentistry in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.