Chibueze George Okoro, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

16627 Issued in MD

Practice address

1400 Mercantile LN Ste 100
Largo, MD 20774-5355

Phone

(301) 925-8600

Fax

(301) 925-8065

NPI assigned

Sep 29, 2017

Last updated

Jul 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eze Dental LLC

  • General Practice Dentistry
  • Largo, MD
  • NPI 1194328203
  NPD Authorized official
• Eze Health Group Inc

  • Home Health Agency
  • Upper Marlboro, MD
  • NPI 1376326173
  NPD Authorized official

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1205345576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 100",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745355",
            "telephone_number": "301-925-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 100",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745355",
            "telephone_number": "301-925-8600",
            "fax_number": "301-925-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORO",
        "first_name": "CHIBUEZE",
        "middle_name": "GEORGE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857772",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "16627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Okechukwu Matthew Ofodile, CRNP
• Regina Ogbonna, PA-C
• Ifeoluwa Olufunmilayo Oginni
• Oluwabusuyi Ogunsola
• Christian Okebata
• Abimbola Okulaja, MD
• Omolayo A Oladimeji, LGPC
• Oluwafunmilayo D Olaleye, M.D
• Florence Ifeoma Omerennah, RD LD/N
• Adeola Rita Omoruyi, CRNP

• Dentist in Largo, MD
• Providers in Largo, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.