Madueke Ethelberth Ekoh, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401411793 Issued in VA

Practice address

14634 Lee Highway
Gainesville, VA 20155

Phone

(703) 753-4777

Fax

(703) 753-4677

NPI assigned

Aug 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Teem Orthodontics PLLC

  • Dental Clinic/Center
  • Gainesville, VA
  • NPI 1790932507
  NPD (past) Authorized official

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1164616272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14634 LEE HIGHWAY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "703-753-4777",
            "fax_number": "703-753-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14634 LEE HIGHWAY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "703-753-4777",
            "fax_number": "703-753-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKOH",
        "first_name": "MADUEKE",
        "middle_name": "ETHELBERTH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401411793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East West Healthcare Solutions LLC
• Easy Dental Care
• Gertrude Eshun Ebenezer
• Heather Robin Eddy, MSW
• Alexis Edwards
• Elhady Dental 2 PLLC
• Colin JC Elliot, MCSP, RPT, BSPT
• Empowered 7 Healthcare Services, LLC
• Endo PLLC
• Andrea Espinoza

• Orthodontics and Dentofacial Orthopedics Dentistry in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.