Osarobo Ehigiator

Primary specialty

DentistTaxonomy code 122300000X

License

471786124 Issued in NM

Practice address

4511 N Main St Ste B
Roswell, NM 88201-0309

Phone

(575) 208-2380

Fax

(575) 218-7537

NPI assigned

Jan 25, 2018

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Briteview Dental LLC

  • Dentist
  • Roswell, NM
  • NPI 1437938479
  NPD
• Smilesforever LLC

  • General Practice Dentistry
  • Roswell, NM
  • NPI 1710379755
  NPD (past)

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1326546284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 N MAIN ST STE B",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882010309",
            "telephone_number": "575-208-2380",
            "fax_number": "575-218-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 N MAIN ST STE B",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882010309",
            "telephone_number": "575-208-2380",
            "fax_number": "575-218-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHIGIATOR",
        "first_name": "OSAROBO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "471786124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern New Mexico University-Roswell Branch Community College
• Eastern Plains Medical Group, P.C.
• Maeve Ebright, CERTIFIED DOULA
• James Edwards
• Jessica Edwards
• Ahmad El Alayli, M.D.
• Elevate Mobile Rehab, LLC
• Elite Medical LLC
• Jose Antonio Elizondo Leal, M.D.
• Ellington Counseling Services, LLC

• Dentist in Roswell, NM
• Providers in Roswell, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.