Active NPI
Ikechukwu Uchenna Ononiwu, PTA
- Contractor
- Houston, TX
National Provider Identifier
1275802472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 11214268
- Practice address
- 2530 N Camden Pkwy
Houston, TX 77067-5209 - Phone
- (832) 444-7918
- Fax
- (713) 789-4616
- NPI assigned
- Dec 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 11214268 | TX | Primary |
Addresses
Primary practice location
2530 N Camden Pkwy
Houston, TX 77067-5209
Mailing address
2530 N Camden Pkwy
Houston, TX 77067-5209
Phone (832) 444-7918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11214268 | TX | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1275802472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 N CAMDEN PKWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770675209",
"telephone_number": "832-444-7918",
"fax_number": "713-789-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 N CAMDEN PKWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770675209",
"telephone_number": "832-444-7918",
"fax_number": "713-789-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONONIWU",
"first_name": "IKECHUKWU",
"middle_name": "UCHENNA",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-19",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "11214268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.