Peter O Akinjise, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS043907 Issued in PA

Practice address

1704 Judie LN Apt C
Lancaster, PA 17603-6733

Phone

(780) 881-7029

NPI assigned

Sep 27, 2022

Last updated

Oct 10, 2022By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1902520547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 JUDIE LN APT C",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176036733",
            "telephone_number": "780-881-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 JUDIE LN APT C",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176036733",
            "telephone_number": "780-881-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINJISE",
        "first_name": "PETER",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malerie Ainge, LSW
• Yussuf Aisset, LPN
• Edward T Aitken
• Matthew Aker
• Lindsey Akers, LPC
• Syeda Naureen Alam, MD
• Spoorthi Alapati
• Carly Albright Keller, CRNP
• Albright Life
• Albright Opticians, Inc

• General Practice Dentistry in Lancaster, PA
• Providers in Lancaster, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.