Mayokun Grace Demehin, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15652 Issued in MD

Practice address

3639 Liberty Heights Ave
Baltimore, MD 21215-7175

Phone

(410) 664-2503

NPI assigned

Jul 10, 2013

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: mayokun.demehin.p1@direct.sunset.nextgenshare.com

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1770924573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 LIBERTY HEIGHTS AVE",
            "address_2": "MUMBY AND SIMMONS DENTAL CONSULTANTS, P.C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21225",
            "telephone_number": "410-664-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157175",
            "telephone_number": "410-664-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEHIN",
        "first_name": "MAYOKUN",
        "middle_name": "GRACE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Dominick Dematteo Jr., LCSW-C CAC-AD
• Michael Ewald Dembeck, PAC
• Amena Demby-Ajadi
• Lakeia Demby
• Colleen Mary Demchak
• Shadpour Demehri, M.D.
• Olivia Demeo
• Susan Demetrides, CPNP
• Michelle Demeule-Hayes, RD
• Vanessa Deminds

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, 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 Nov 15, 2016; 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.