Organization Active NPI

Chibuike Okoro MD PLLC

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1255894648
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHIBUIKE OKORO MD PLLC
Practice address
1950 Record Crossing Rd
Dallas, TX 75235-6223
Phone
(214) 640-9600
NPI assigned
Apr 11, 2019
Last updated
Apr 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Chibuike Okoro, MDNPI 1811197338
Title
Owner
Phone
(214) 418-5651

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1950 Record Crossing Rd
Dallas, TX 75235-6223

Mailing address

4760 Preston Rd Ste 244-284
Frisco, TX 75034-8548
Phone (214) 418-5651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190507000365 TX Part B Supplier - Clinic/Group Practice 2567704893 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX; Dallas, TX; Irving, TX

National Provider Directory

National Provider Directory

Locations

14902 Preston Rd
Ste 404-1002
Dallas, TX 75254

3500 Gaston Ave
Ste 550
Dallas, TX 75246
Phone (214) 821-1177

4760 Preston Rd
Ste 244284
Frisco, TX 75034

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1255894648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 PRESTON RD STE 244-284",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348548",
            "telephone_number": "214-418-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 RECORD CROSSING RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356223",
            "telephone_number": "214-640-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIBUIKE OKORO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "CHIBUIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-418-5651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.