Individual provider Active NPI

Akinwale Akinwande, DDS

  • Dentist
  • Baltimore, MD
National Provider Identifier
1871904516
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16231 Issued in MD
Practice address
2401 Belair Rd
Baltimore, MD 21213-1200
Phone
(410) 522-5777
NPI assigned
May 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.024264 OH
Dentist 122300000X 16231 MD Primary

Addresses

Primary practice location

2401 Belair Rd
Baltimore, MD 21213-1200

Mailing address

2401 Belair Rd
Baltimore, MD 21213-1200
Phone (410) 522-5777

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
I20170619000393 MD Order and Referring Only - DentistPractitioner - Dentist 6608144597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.024264OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Akinwale Akinwande DDS Ms PLLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1871904516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131200",
            "telephone_number": "410-522-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131200",
            "telephone_number": "410-522-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINWANDE",
        "first_name": "AKINWALE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024264",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.