Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942997176 Individual Practitioner Male Practitioner

Johnny Nico Atencio , BS

Dentist • Dover Afb, DE

Professional Overview & Biography Verified Profile Summary

Johnny Atencio, BS is a registered healthcare professional specializing in Dentist in Dover Afb, DE. Practice services are available at 300 TUSKEGEE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 Tuskegee Blvd

Dover Afb, DE 199025003

Telephone 3027304633
Associated Practice Facility / Clinic
🏢 436th Medgrp-Dover Facility NPI 1437112646

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Dover Afb, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Dover Afb, DE (205 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-29
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Jeremyah Smith , CADC

Counselor - Mental Health

NPI 1205756244

Certified Alcohol and Drug Counselor

Dr. Justin Rowberry , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1427258193

Doctor of Medicine (M.D.)

Dr. Adnan Mehboob , DO

Family Medicine

NPI 1427582659

Doctor of Osteopathic Medicine (D.O.)

NPI 1790070274

Doctor of Osteopathic Medicine (D.O.)

NPI 1821625377
Emily Wanger , PA-C

Physician Assistant

NPI 1831824655

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 29, 2024

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

📍
Updated Business Mailing Address July 29, 2024

Registered at 300 TUSKEGEE BLVD, DOVER AFB, DE 199025003

📍
Updated Business Mailing Address August 10, 2023

Registered at 2501 CAPEHART RD, OFFUTT AFB, NE 681131043

📍
Updated Practice Location July 05, 2023

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

NPI Profile Active April 26, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2023

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

📍
Updated Business Mailing Address April 26, 2023

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

👤
Provider Name / Credentials Updated April 26, 2023

Recorded as JOHNNY ATENCIO, BS

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.