Organization Active NPI

Omari Onyango DDS a Professional

  • General Practice Dentistry
  • Victorville, CA
National Provider Identifier
1346447711
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54183 Issued in CA
Legal business name
OMARI ONYANGO DDS A PROFESSIONAL
Practice address
12384 Palmdale Rd
204
Victorville, CA 92392-8506
Phone
(760) 843-5400
Fax
(760) 843-5465
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Omari Onyango, DDSNPI 1881744415
Title
President
Phone
(760) 843-5400

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 54183 CA Primary

Addresses

Primary practice location

12384 Palmdale Rd
204
Victorville, CA 92392-8506

Mailing address

12384 Palmdale Rd.
# 204
Victorville, CA 92392
Phone (760) 843-5400

Other names 1

  • Palmdale Family Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

12384 Palmdale Rd
Ste 204
Victorville, CA 92392
Phone (760) 843-5400

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": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1346447711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12384 PALMDALE RD.",
            "address_2": "# 204",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92392",
            "telephone_number": "760-843-5400",
            "fax_number": "760-843-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12384 PALMDALE RD",
            "address_2": "204",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928506",
            "telephone_number": "760-843-5400",
            "fax_number": "760-843-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMARI ONYANGO DDS A PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ONYANGO",
        "authorized_official_first_name": "OMARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-843-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmdale Family Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.