NPIMap

Organization Active NPI

Ifeatu Nnebe DDS Inc

  • Dentist
  • Folsom, CA
National Provider Identifier
1073084844
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
IFEATU NNEBE DDS INC
Practice address
2700 E Bidwell St Ste 300
Folsom, CA 95630-6434
Phone
(916) 299-9487
Fax
(916) 542-7395
NPI assigned
Dec 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Dr. Ifeatu Nnebe, DDSNPI 1184091571
Title
President
Phone
(916) 299-9487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2700 E Bidwell St Ste 300
Folsom, CA 95630-6434

Mailing address

2700 E Bidwell St Ste 300
Folsom, CA 95630-6434
Phone (916) 299-9487

Other names 1

  • BSC Dental Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

2700 E Bidwell St
Ste 300
Folsom, CA 95630
Phone (916) 299-9487

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1073084844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E BIDWELL ST STE 300",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306434",
            "telephone_number": "916-299-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E BIDWELL ST STE 300",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306434",
            "telephone_number": "916-299-9487",
            "fax_number": "916-542-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFEATU NNEBE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "NNEBE",
        "authorized_official_first_name": "IFEATU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-299-9487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BSC Dental Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.