Active NPI
Omari Onyango DDS a Professional
- General Practice Dentistry
- Victorville, CA
National Provider Identifier
1346447711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 54183
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Omari Onyango, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Victorville, CA
- NPI 1881744415
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.