Simeon O. Udunka, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

28364 Issued in TX

Practice address

3939 S Polk St Ste 310
Dallas, TX 75224-4406

Phone

(972) 362-8000

NPI assigned

Jul 5, 2013

Sex

Male

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 TX

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

State licenses

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 and National Provider Directory roles.

• Simeon O Udunka DDS PLLC

  • Dental Clinic/Center
  • Dallas, TX
  • NPI 1831954007
  NPD Authorized official
• Affordable Dentures & Implants - Texas, PLLC

  • General Practice Dentistry
  • Cedar Hill, TX
  • NPI 1902596133
  NPD (past)

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1346680378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 N MACARTHUR BLVD STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637501",
            "telephone_number": "972-987-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 S POLK ST STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244406",
            "telephone_number": "972-362-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDUNKA",
        "first_name": "SIMEON",
        "middle_name": "O.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enobong C. Udo, A-GNP
• Chukwuebuka Jason Udolisa, PHARMD
• Irikefe Jude Udoroh
• Catherine Littlejohn Udovich, PT
• Jennisha Uduezue
• Rafael Luis Ufret-Vincenty, MD
• Esther Ngozi Ugbah, LVN
• Blessing Rita Ugbor, NP
• Grace Ugochukwu
• Kenechukwu Ugochukwu

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.