Active NPI
Bernard Sanya Okumu, DDS
- General Practice Dentistry
- McAllen, TX
National Provider Identifier
1164083069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 35388
- Practice address
- 1301 E US Highway 83
McAllen, TX 78501-8818 - Phone
- (965) 994-0349
- Fax
- (965) 994-0988
- NPI assigned
- Jun 22, 2019
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35388 | TX | Primary |
Addresses
Primary practice location
1301 E US Highway 83
McAllen, TX 78501-8818
Mailing address
7504 Continental Pkwy
Amarillo, TX 79119-6376
Phone (806) 443-8005
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 |
|---|---|---|---|
| 35388 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561161600000",
"number": "1164083069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7504 CONTINENTAL PKWY",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791196376",
"telephone_number": "806-443-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E US HIGHWAY 83",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785018818",
"telephone_number": "965-994-0349",
"fax_number": "965-994-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUMU",
"first_name": "BERNARD",
"middle_name": "SANYA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-22",
"last_updated": "2019-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "35388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.