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Johnny Nico Atencio , BS

Dentist β€’ Dover Afb, DE

Active NPI 1942997176 Individual Practitioner Male Practitioner
Practice location in NPPES

300 Tuskegee Blvd
Dover Afb, DE 199025003

Call 3027304633 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

300 Tuskegee Blvd

Dover Afb, DE 199025003

Telephone 3027304633
Organization at the Same NPPES Address or Phone
436th Medgrp-Dover Facility NPI 1437112646

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dover Afb and Delaware

10 active clinicians are listed under Dentist with a practice address in Dover Afb, DE (194 in Delaware).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-29
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES CO DEN.00205615

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Delaware State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Adnan Mehboob , DO

Family Medicine

NPI 1427582659

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 29, 2024

Registered at 300 TUSKEGEE BLVD, DOVER AFB, DE 199025003 (Tel: 3027304633)

πŸ“
Updated Business Mailing Address July 29, 2024

Registered at 300 TUSKEGEE BLVD, DOVER AFB, DE 199025003

πŸ“
Updated Business Mailing Address August 10, 2023

Registered at 2501 CAPEHART RD, OFFUTT AFB, NE 681131043

πŸ“
Updated Practice Location July 05, 2023

Registered at 2501 CAPEHART RD, OFFUTT AFB, NE 681131043 (Tel: 4022322273)

βœ…
NPI Profile Active April 26, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 26, 2023

Registered at 2109 CUMING ST, OMAHA, NE 681024325 (Tel: 4022805990)

πŸ“
Business Mailing Address (Initial Record) April 26, 2023

Registered at 206 S 19TH ST APT 804, OMAHA, NE 681021724 (Tel: 5052399606)

πŸ‘€
Provider Name / Credentials (Initial Record) April 26, 2023

Recorded as JOHNNY ATENCIO, BS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2023

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration April 18, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942997176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2023
Last Update: July 29, 2024
Sole Proprietor: No

Mailing Address

300 Tuskegee Blvd

Dover Afb, DE 199025003

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.