Active NPI
Oliver Ngumbi
- Dental Assistant
- Fort Bliss, TX
National Provider Identifier
1134579899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- 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
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 |
|---|---|---|---|---|
| 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.