Organization Active NPI

Chinatu P. Ego-Osuala LLC

  • General Practice Dentistry
  • Takoma Park, MD
National Provider Identifier
1104287036
Registry record updated Mar 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15803 Issued in MD
Legal business name
CHINATU P. EGO-OSUALA LLC
Practice address
7610 Carroll Ave
480
Takoma Park, MD 20912-6384
Phone
(301) 326-1302
Fax
(301) 326-1092
NPI assigned
Mar 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2016

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

Authorized official

Name
Dr. Chinatu P Ego-Osuala, D.D.S.
Title
Dentist
Phone
(301) 326-1302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15803 MD Primary

Addresses

Primary practice location

7610 Carroll Ave
480
Takoma Park, MD 20912-6384

Mailing address

7610 Carroll Ave
480
Takoma Park, MD 20912-6384
Phone (301) 326-1302

Other names 1

  • Paramount Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

7610 Carroll Ave
Ste 480
Takoma Park, MD 20912
Phone (301) 270-4360

NPI Registry JSON

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

{
    "created_epoch": "1458432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458432000000",
    "number": "1104287036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE",
            "address_2": "480",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126384",
            "telephone_number": "301-326-1302",
            "fax_number": "301-326-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE",
            "address_2": "480",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126384",
            "telephone_number": "301-326-1302",
            "fax_number": "301-326-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINATU P. EGO-OSUALA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-20",
        "last_updated": "2016-03-20",
        "status": "A",
        "authorized_official_last_name": "EGO-OSUALA",
        "authorized_official_first_name": "CHINATU",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-326-1302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paramount Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2016; 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.