Individual provider Active NPI

Emamefe Ewomazino Okinedo, DMD

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1164061453
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35858 Issued in TX
Practice address
28818 Innes Park PL
Katy, TX 77494-6947
Phone
(662) 380-0331
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35858 TX Primary

Addresses

Primary practice location

28818 Innes Park PL
Katy, TX 77494-6947

Mailing address

28818 Innes Park PL
Katy, TX 77494-6947
Phone (662) 380-0331

Other names 1

  • Dr. Emamefe Ewomazino Oveh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408003967 TX Practitioner - Dentist 7719401959 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35858TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Emamefe Okinedo DMD PLLC CurrentSince Mar 8, 2025 Accepting new patients
TMS Neurohealth Texas PLLC PastSince Mar 8, 2025 Accepting new patients

Locations

21922 Bellaire Blvd
Ste 400
Richmond, TX 77407
Phone (346) 762-2751

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1164061453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28818 INNES PARK PL",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946947",
            "telephone_number": "662-380-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28818 INNES PARK PL",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946947",
            "telephone_number": "662-380-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKINEDO",
        "first_name": "EMAMEFE",
        "middle_name": "EWOMAZINO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMAMEFE",
            "last_name": "OVEH",
            "middle_name": "EWOMAZINO",
            "prefix": "DR.",
            "credential": "BDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.