Individual provider Active NPI

Chinedu Edward Ahanonu, DDS

  • Dentist
  • Oshkosh, WI
National Provider Identifier
1174095996
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6001813-15 Issued in WI
Practice address
550 City Ctr
Oshkosh, WI 54901-4830
Phone
(920) 731-7445
NPI assigned
Dec 18, 2018
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6001813-15 WI Primary

Addresses

Primary practice location

550 City Ctr
Oshkosh, WI 54901-4830

Mailing address

5337 W Grande Market Dr
Appleton, WI 54913-8442
Phone (920) 731-7445

Other practice location 1

5337 W Grande Market Dr
Appleton, WI 54913-8442
Phone (920) 731-7445

Other practice location 2

825 W Fulton St
Waupaca, WI 54981-1471
Phone (920) 731-7445

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

LicenseStateTypeSpecialty
6001813-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Partnership Community Health Center, Inc Past Accepting new patients
Partnership Community Health Center, Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1174095996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 W GRANDE MARKET DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138442",
            "telephone_number": "920-731-7445",
            "fax_number": "920-651-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CITY CTR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014830",
            "telephone_number": "920-731-7445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5337 W Grande Market Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549138442",
            "country_code": "US",
            "telephone_number": "920-731-7445",
            "fax_number": "920-651-3485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 W Fulton St",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811471",
            "country_code": "US",
            "telephone_number": "920-731-7445",
            "fax_number": "920-651-3485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHANONU",
        "first_name": "CHINEDU",
        "middle_name": "EDWARD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001813-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.