Individual provider Active NPI

Emmanuel C Oguike

  • Driver
  • Virginia Beach, VA
National Provider Identifier
1043916828
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
A62605997 Issued in VA
Practice address
5504 Island CT
Virginia Beach, VA 23462-1259
Phone
(757) 230-6528
NPI assigned
Feb 3, 2023
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X A62605997 VA Primary

Addresses

Primary practice location

5504 Island CT
Virginia Beach, VA 23462-1259

Mailing address

5504 Island CT
Virginia Beach, VA 23462-1259
Phone (757) 230-6528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A62605997VAMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1043916828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 ISLAND CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621259",
            "telephone_number": "757-230-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 ISLAND CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621259",
            "telephone_number": "757-230-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUIKE",
        "first_name": "EMMANUEL",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "A62605997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.