The Dentist@Felida

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60567260 Issued in WA

Legal business name

THE DENTIST@FELIDA

Practice address

10710 NW Lakeshore Ave
Vancouver, WA 98685-4786

Phone

(206) 613-9193

NPI assigned

Mar 17, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christian M Okafor, DDS, PHD.NPI 1124401732

Title

Managing Member

Phone

(206) 613-9193

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christian Mmadibuobu Okafor, DDS, PHD

  • Dentist
  • Moses Lake, WA
  • NPI 1124401732
  NPD (past) Authorized official

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1104329994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 S 19TH WAY",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986429279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 NW LAKESHORE AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854786",
            "telephone_number": "206-613-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTIST@FELIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "206-613-9193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60567260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Thawsh, LMP
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• The Arc of Southwest Washington
• The Bridge Birth Center
• The Chiro Clinic PLLC
• The Devlopment Center (Wholistic Mental Health)
• The Doctor's Inn: Pleasant View Incorporated
• The Lord's Gym Vancouver USA
• The Loudenback Corporation (Visiting Angels)
• The Oregon Clinic PC

• Dental Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.