Active NPI
Ibifuro Ogechi Ogbanga Earley, DDS
- Pediatric Dentistry
- Houston, TX
National Provider Identifier
1205463502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 38898
- Practice address
- 3402 Highway 6 S Ste C
Houston, TX 77082-4207 - Phone
- (281) 759-5900
- NPI assigned
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 38898 | TX | Primary |
Addresses
Primary practice location
3402 Highway 6 S Ste C
Houston, TX 77082-4207
Mailing address
2536 Amherst St Ste a
Houston, TX 77005-3207
Phone (713) 490-8880
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 |
|---|---|---|---|
| 38898 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Dental Associates, PA | Past | Accepting new patients | |
| Texas Dental Associates, PA | Past | Accepting new patients | |
| Associates for Dental Health, PLLC | Dentist | Past | Accepting new patients |
Interoperability endpoints
- iogbanga69370@uihealth.direct-ci.com
Organizations & group practices 3
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.
-
- Dentist
- Houston, TX
- NPI 1366826174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1205463502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2536 AMHERST ST STE A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770053207",
"telephone_number": "713-490-8880",
"fax_number": "281-417-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 HIGHWAY 6 S STE C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770824207",
"telephone_number": "281-759-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLEY",
"first_name": "IBIFURO",
"middle_name": "OGECHI OGBANGA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "38898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.