Adesuwa Okonedo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

34042 Issued in TX

Practice address

3250 W Pleasant Run Rd Ste 190
Lancaster, TX 75146-1041

Phone

(469) 765-8050

NPI assigned

May 14, 2018

Last updated

Feb 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Adsuwa Okonedo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Okonedo Dentistry PLLC

  dba Panther Creek Dental

  • Dental Clinic/Center
  • Frisco, TX
  • NPI 1306581871
  NPD Authorized official

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1215427513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 ROSS AVE APT 5038",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012558",
            "telephone_number": "202-468-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W PLEASANT RUN RD STE 190",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461041",
            "telephone_number": "469-765-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONEDO",
        "first_name": "ADESUWA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADSUWA",
            "last_name": "OKONEDO",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gladys Nyachwaya, PTA
• Vivian Obera
• Henry U Ogbogu, MD
• Austin I Ogwu, M.D.
• Chiedu A Ogwu, MD
• Francesca C. Okoro Crye
• Jill Rosellini Ombrello, DDS
• Orthopedic Surgery Center of Ellis County, LLC
• Paloma Home and Health
• Jerome Parish

• Dentist in Lancaster, TX
• Providers in Lancaster, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.