Active NPI
Olivia C. Ogbuaku, DDS
- Dentist
- Landover Hills, MD
National Provider Identifier
1124712153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17904
- Practice address
- 7101 Annapolis Rd
Landover Hills, MD 20784-2129 - Phone
- (301) 895-0402
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17904 | MD | Primary |
Addresses
Primary practice location
7101 Annapolis Rd
Landover Hills, MD 20784-2129
Mailing address
1405 Bermuda Dunes CT
Bowie, MD 20721-3114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17904 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1124712153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 BERMUDA DUNES CT",
"city": "BOWIE",
"state": "MD",
"postal_code": "207213114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 ANNAPOLIS RD",
"city": "LANDOVER HILLS",
"state": "MD",
"postal_code": "207842129",
"telephone_number": "301-895-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBUAKU",
"first_name": "OLIVIA",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "17904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Landover Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.