Eze Dental Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EZE DENTAL PROFESSIONAL CORPORATION

Practice address

6030 S Land Park Dr
Sacramento, CA 95822-3315

Phone

(916) 500-5437

Fax

(916) 244-7004

NPI assigned

Aug 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kenechukwu Eze, DDSNPI 1669648580

Title

Owner Dentist

Phone

(916) 500-5437

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kenechukwu Obidigwe Eze, DDS

  • Dentist
  • Sac, CA
  • NPI 1669648580
  NPD Authorized official

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628899200000",
    "number": "1255006805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 S LAND PARK DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958223315",
            "telephone_number": "916-500-5437",
            "fax_number": "916-244-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 S LAND PARK DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958223315",
            "telephone_number": "916-500-5437",
            "fax_number": "916-244-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZE DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "KENECHUKWU",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "916-500-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "56954",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Thea Eyman, M.D.
• Michael F. Eyolfson, MD
• Alyson Eystad
• Ez Care
• Ez Going Logistics LLC
• Chinyere Gift Eze
• Cindy Chiamaka Ezimora, NP (AGACNP-BC)
• Judith Uchenna Ezimora
• Camille Ezran, MD
• Omar Farag Ezubeik

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.