Active NPI
Henry Ohiomoba, BDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Holyoke, MA
National Provider Identifier
1194071589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 33522
- Practice address
- 230 Maple St
Holyoke, MA 01040-5144 - Phone
- (413) 420-2200
- NPI assigned
- Aug 3, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL11683 | MA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 33522 | TX | Primary |
Addresses
Primary practice location
230 Maple St
Holyoke, MA 01040-5144
Mailing address
109 Thoreau Way Apt 732
Lawrence, MA 01843-3884
Phone (617) 963-9821
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 |
|---|---|---|---|
| 33522 | TX | MD | Psychologist |
| DL11683 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518393600000",
"number": "1194071589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 THOREAU WAY APT 732",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018433884",
"telephone_number": "617-963-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 MAPLE ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010405144",
"telephone_number": "413-420-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHIOMOBA",
"first_name": "HENRY",
"name_prefix": "Dr.",
"credential": "BDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-03",
"last_updated": "2018-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL11683",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "33522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.