Ikechukwu Ihenatu

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11748 Issued in CT

Practice address

2721 Black Cherry Dr
Charlotte, NC 28262-4244

Phone

(919) 593-3791

NPI assigned

Nov 4, 2015

Sex

Male

Sole proprietor

Yes

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 CT

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.

• Sparrrow Dentistry

  • Dental Clinic/Center
  • Waterbury, CT
  • NPI 1023725868
  NPD Authorized official

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1043683733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 BLACK CHERRY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624244",
            "telephone_number": "919-593-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 BLACK CHERRY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624244",
            "telephone_number": "919-593-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHENATU",
        "first_name": "IKECHUKWU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-04",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ignite South Charlotte LLC
• Igniting Lives Home Care LLC
• Ozenim Paul Igumbor
• Chibuzor Ndubuisi Ihe, MD
• Chinwe Iheme
• Ogechi Jane-Francias Ihenatu, PHARMACIST
• Dana Ihmeidan
• Temitayo Christine Ijaduola, MS, LCMHCA, NCC
• Emily Ijames
• Ijk Mental Health Solutions, PLLC

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.