Organization Active NPI

Ijeoma C. Igwe, D.D.S., PC

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1316595218
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
IJEOMA C. IGWE, D.D.S., PC
Practice address
11980 San Vicente Blvd Ste 901
Los Angeles, CA 90049-6607
Phone
(310) 918-9422
NPI assigned
Sep 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Dr. Ijeoma C Igwe, DDS
Title
President
Phone
(310) 918-9422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11980 San Vicente Blvd Ste 901
Los Angeles, CA 90049-6607

Mailing address

11980 San Vicente Blvd Ste 901
Los Angeles, CA 90049-6607
Phone (310) 918-9422

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1316595218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 901",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496607",
            "telephone_number": "310-918-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 901",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496607",
            "telephone_number": "310-918-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJEOMA C. IGWE, D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "IGWE",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-918-9422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.