Eseoghene Erhuvwuyoma Okugbaye, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26223 Issued in TX

Practice address

905 N Cummings Dr
Alvarado, TX 76009-3258

Phone

(678) 698-1440

NPI assigned

Jun 17, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Zee Smile Dental Inc

  • Dental Clinic/Center
  • Willow Park, TX
  • NPI 1255851770
  NPD Authorized official
• Alvarado Family Dentistry

  • Dental Clinic/Center
  • Alavardo, TX
  • NPI 1396095394
  NPD (past) Authorized official

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1235366261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N CUMMINGS DR",
            "city": "ALVARADO",
            "state": "TX",
            "postal_code": "760093258",
            "telephone_number": "678-698-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N CUMMINGS DR",
            "city": "ALVARADO",
            "state": "TX",
            "postal_code": "760093258",
            "telephone_number": "678-698-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5189 E Interstate 20 Service Rd N Ste 102",
            "address_purpose": "LOCATION",
            "city": "Willow Park",
            "state": "TX",
            "postal_code": "760873204",
            "country_code": "US",
            "telephone_number": "682-385-0171",
            "fax_number": "682-385-0227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKUGBAYE",
        "first_name": "ESEOGHENE",
        "middle_name": "ERHUVWUYOMA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855156",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "26223",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Michele Munoz, RN
• Rose Ndubi
• Karla Norman, LMT
• Elisa Mitrani Nudleman, MS
• Taphrosa N Nyamweya, RN
• Parkway Medical Care PLLC
• Tirth Patel, PA-C
• Natalie A Rice
• Betty Rodgers
• Irma Rebecca Sanchez

• General Practice Dentistry in Alvarado, TX
• Providers in Alvarado, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.