Weruche Chinyere Okonkwo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010796 Issued in CT

Practice address

468 Clinton Ave
Bridgeport, CT 06605-1713

Phone

(203) 337-6266

Fax

(203) 337-6261

NPI assigned

Jul 17, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Family Dental Group C.a.

  • Periodontics
  • Bridgeport, CT
  • NPI 1700981602

  General Practice

  NPD (past)
• Tee-Pee Dentistry P.C.

  • General Practice Dentistry
  • Bridgeport, CT
  • NPI 1770935710
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1053666941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 FIELDSTONE TER",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022573",
            "telephone_number": "773-663-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 CLINTON AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051713",
            "telephone_number": "203-337-6266",
            "fax_number": "203-337-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "WERUCHE",
        "middle_name": "CHINYERE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "010796",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8050524",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Ogunjobi
• Alexander Daniel Ohlson, PHYSICIAN ASSISTANT
• Oikos Home Care LLC
• Oyebusola Ojo
• Jennifer Godwin Okon, M.D
• Ivie Iyore Okunbor
• Olatunde Ola, MD, MPH
• Bukola Oladokun
• Nahum Oliva Zacarias
• Elaine C. Oliveira, MD

• General Practice Dentistry in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.