Ellen Rives Oertel, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Practice address

2425 Boulevard
Suite 8
Colonial Heights, VA 23834-2317

Phone

(804) 520-0000

NPI assigned

Dec 9, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southside Endodontics, PC

  • Endodontics
  • Colonial Heights, VA
  • NPI 1053494260
  NPD (past) Authorized official

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306821632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BOULEVARD",
            "address_2": "SUITE 8",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342324",
            "telephone_number": "804-520-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BOULEVARD",
            "address_2": "SUITE 8",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342317",
            "telephone_number": "804-520-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OERTEL",
        "first_name": "ELLEN",
        "middle_name": "RIVES",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ugonma Christiana Nwaohuocha, O.D
• Jessy A Nwuba, DNP, FNP-BC
• Stephanie S O'Connor, NP
• Aida Ong Obusan, MD,FAAP
• Noel Feminella Ockaili, PHARM.D.
• Onyinyechukwu Okoli, APRN
• Nancy A. Okoth-Shaw, APRN, FNP-C
• Chidinma Blessing Okwueze
• Solomon Soroibe Okwueze, PMHNP-B
• Omega II Therapeutic After School

• Endodontics in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.