NPIMap

Organization Active NPI

Elite Root Canal Specialties

  • Endodontics
  • Greenbelt, MD
National Provider Identifier
1215423215
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
14450 Issued in MD
Legal business name
ELITE ROOT CANAL SPECIALTIES
Practice address
7525 Greenway Center Dr Ste T6
Greenbelt, MD 20770-3527
Phone
(240) 219-9010
NPI assigned
Jul 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Dr. Valerie Ijeoma Okehie, DDS, MSNPI 1629399332
Title
Endodontist
Phone
(240) 219-9010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 14450 MD Primary

Addresses

Primary practice location

7525 Greenway Center Dr Ste T6
Greenbelt, MD 20770-3527

Mailing address

134 Perth Amboy CT
Upper Marlboro, MD 20774-1162

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1215423215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 PERTH AMBOY CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE T6",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703527",
            "telephone_number": "240-219-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ROOT CANAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "OKEHIE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "IJEOMA",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "240-219-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "14450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.