Organization Active NPI

One Smile at a Time, LLC

  • General Practice Dentistry
  • Accokeek, MD
National Provider Identifier
1730896374
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ONE SMILE AT A TIME, LLC
Practice address
15638 Livingston Rd Ste 9
Accokeek, MD 20607-3340
Phone
(925) 219-2859
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Dr. Ifeoma Essien, DDSNPI 1487048625
Title
Managing Member
Phone
(925) 219-2859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15638 Livingston Rd Ste 9
Accokeek, MD 20607-3340

Mailing address

15638 Livingston Rd Ste 9
Accokeek, MD 20607-3340
Phone (925) 219-2859

National Provider Directory

National Provider Directory

Locations

15638 Livingston Rd
Ste 9
Accokeek, MD 20607
Phone (404) 936-9092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1730896374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15638 LIVINGSTON RD STE 9",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073340",
            "telephone_number": "925-219-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15638 LIVINGSTON RD STE 9",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073340",
            "telephone_number": "925-219-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SMILE AT A TIME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "ESSIEN",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "925-219-2859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Accokeek, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.