Active NPI
Ifeanyi Chukwuka, DDS
- Dentist
- Washington, DC
National Provider Identifier
1205388287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401415430
- Practice address
- Branch Health Clinic Washington Navy Yard
Building 175, 915 N St SE
Washington, DC 20374 - Phone
- (202) 433-2589
- NPI assigned
- Oct 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401415430 | VA | Primary |
Addresses
Primary practice location
Branch Health Clinic Washington Navy Yard
Building 175, 915 N St SE
Washington, DC 20374
Mailing address
Branch Health Clinic Washington Navy Yard
Building 175, 915 N St SE
Washington, DC 20374
Phone (757) 953-1897
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 |
|---|---|---|---|
| 0401415430 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1205388287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BRANCH HEALTH CLINIC WASHINGTON NAVY YARD",
"address_2": "BUILDING 175, 915 N ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20374",
"telephone_number": "757-953-1897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BRANCH HEALTH CLINIC WASHINGTON NAVY YARD",
"address_2": "BUILDING 175, 915 N ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20374",
"telephone_number": "202-433-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUKWUKA",
"first_name": "IFEANYI",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-26",
"last_updated": "2025-03-24",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401415430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.