Evelyn Ofili, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2002016553 Issued in MO

Practice address

860 S Truman Blvd
Festus, MO 63028-3713

Phone

(636) 937-6965

Fax

(636) 937-8607

NPI assigned

Feb 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Missouri Dental Professionals, Richard Straus, DMD, PC

  dba Smile For Life Dental Care

  • General Practice Dentistry
  • Festus, MO
  • NPI 1407076557
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093857617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 S TRUMAN BLVD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630283713",
            "telephone_number": "636-937-6965",
            "fax_number": "636-937-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S TRUMAN BLVD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630283713",
            "telephone_number": "636-937-6965",
            "fax_number": "636-937-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFILI",
        "first_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2002016553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Oberle, LPC
• Occupational & Pain Management Professionals
• Occupational and Pain Management Professionals, Inc.
• Chizor Odibi, M.D.
• Allex Oelkers
• Michelle T Ogonowski, DDS
• Opco Festus, Mo, LLC (Festus Manor)
• Optical Shop Inc
• Christine Barbara Ormsby, MD
• Suzanne Orr

• Dentist in Festus, MO
• Providers in Festus, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.