Individual provider Active NPI

Oliver Ngumbi

  • Dental Assistant
  • Fort Bliss, TX
National Provider Identifier
1134579899
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
Practice address
BLDG 128 Chaffee Road
Attn: Dentac Headquarters US Army Dental Activity,
Fort Bliss, TX 79916
Phone
(915) 742-6001
Fax
(915) 742-7462
NPI assigned
Jun 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X Primary

Addresses

Primary practice location

BLDG 128 Chaffee Road
Attn: Dentac Headquarters US Army Dental Activity,
Fort Bliss, TX 79916

Mailing address

BLDG 128 Chaffee Road
Attn: Dentac Headquarters US Army Dental Activity,
Fort Bliss, TX 79916
Phone (915) 742-6001

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

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1134579899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 128 CHAFFEE ROAD",
            "address_2": "ATTN: DENTAC HEADQUARTERS US ARMY DENTAL ACTIVITY,",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79916",
            "telephone_number": "915-742-6001",
            "fax_number": "915-742-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 128 CHAFFEE ROAD",
            "address_2": "ATTN: DENTAC HEADQUARTERS US ARMY DENTAL ACTIVITY,",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79916",
            "telephone_number": "915-742-6001",
            "fax_number": "915-742-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUMBI",
        "first_name": "OLIVER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bliss, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.