Organization Active NPI

Okonedo Dentistry PLLC

  • Dental Clinic/Center
  • Frisco, TX
National Provider Identifier
1306581871
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OKONEDO DENTISTRY PLLC
Practice address
11020 Panther Creek Pkwy
Suite #300
Frisco, TX 75035
Phone
(945) 348-3500
NPI assigned
Apr 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Dr. Adesuwa Okonedo, DDSNPI 1215427513
Title
Owner/Dentist
Phone
(202) 468-8164

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11020 Panther Creek Pkwy
Suite #300
Frisco, TX 75035

Mailing address

361 Moonvine Dr
Little Elm, TX 75068-1758
Phone (202) 468-8164

Other names 1

  • Panther Creek Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL panthercreekdental.com Direct

National Provider Directory

National Provider Directory

Locations

11020 Panther Creek Pkwy
Ste 300
Frisco, TX 75035
Phone (945) 348-3500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1306581871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 MOONVINE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681758",
            "telephone_number": "202-468-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 PANTHER CREEK PKWY",
            "address_2": "SUITE #300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "945-348-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKONEDO DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "OKONEDO",
        "authorized_official_first_name": "ADESUWA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "202-468-8164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "panthercreekdental.com",
            "affiliation": "N",
            "endpointDescription": "dental practice website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11020 Panther Creek Pkwy",
            "address_2": "Suite #300",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Panther Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.