Individual provider Active NPI

Lloyd A Akpuaka, DMD

  • Dentist
  • Gambrills, MD
National Provider Identifier
1801309968
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16585 Issued in MD
Practice address
1166 State Route 3 S Ste 211
Gambrills, MD 21054-1776
Phone
(217) 540-2100
NPI assigned
Nov 13, 2017
Last updated
Feb 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN1001792 DC
Dentist 122300000X 16585 MD Primary

Addresses

Primary practice location

1166 State Route 3 S Ste 211
Gambrills, MD 21054-1776

Mailing address

1166 State Route 3 S Ste 211
Gambrills, MD 21054-1776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20180104002200 MD Order and Referring Only - DentistPractitioner - Dentist 6507125127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN1001792DCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1801309968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 STATE ROUTE 3 S STE 211",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 STATE ROUTE 3 S STE 211",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541776",
            "telephone_number": "217-540-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKPUAKA",
        "first_name": "LLOYD",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001792",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

Verify at the official NPI Registry.