Active NPI
Chidimma Okwara, MD
- General Practice Physician
- Houston, TX
National Provider Identifier
1356032536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- V4161
- Practice address
- 1977 Butler Blvd Ste E6.200
Houston, TX 77030-4101 - Phone
- (214) 820-7903
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | V4161 | TX | Primary |
Addresses
Primary practice location
1977 Butler Blvd Ste E6.200
Houston, TX 77030-4101
Mailing address
1885 El Paseo St Apt 32309
Houston, TX 77054
Phone (214) 679-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V4161 | TX | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1356032536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 EL PASEO ST APT 32309",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77054",
"telephone_number": "214-679-7956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1977 BUTLER BLVD STE E6.200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304101",
"telephone_number": "214-820-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKWARA",
"first_name": "CHIDIMMA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "V4161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.