Christopher Yakubu Emuedue, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0023004 Issued in TX

Practice address

3616 S Lancaster Rd
Dallas, TX 75216-5629

Phone

(214) 374-7100

NPI assigned

Oct 19, 2006

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peridot Dental PLLC

  • Dental Clinic/Center
  • Dallas, TX
  • NPI 1083227904
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1043392996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 EDENMORE LN",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750894805",
            "telephone_number": "618-420-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752165629",
            "telephone_number": "214-374-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMUEDUE",
        "first_name": "CHRISTOPHER",
        "middle_name": "YAKUBU",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0023004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empyrean Hospice of Texas, LLC
• Emr Home Health Care Services LLC
• Sondos Emran
• Ashley Nicole Emrick, PSY.D.
• Graham John Emslie, MD
• Enamelrx PLLC
• Guadalupe Vanessa Enamorado, RN
• Sergio Enamorado
• Richard Enander, PH.D
• Encompass Health Rehabilitation Hospital of Dallas, LLC

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.