Walter Okumu Ngaji-Okumu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036492 Issued in PA

Practice address

1131 Olive St
Coatesville, PA 19320-3518

Phone

(610) 466-9545

Fax

(610) 466-9545

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1356398556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BUCK RUN LANE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551609",
            "telephone_number": "610-466-9545",
            "fax_number": "610-466-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 OLIVE ST",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203518",
            "telephone_number": "610-466-9545",
            "fax_number": "610-466-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGAJI-OKUMU",
        "first_name": "WALTER",
        "middle_name": "OKUMU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13418",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018732",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013486250005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013486250001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Neifer
• Robert Nelson II
• Nicole Nemeth, MD
• Charlyanne Marie Nester, RN
• Yasenta Newman, PHD
• Hong Bichthi Nguyen, PHARM.D.
• Marianne R. Nikas, MD
• Heather M Nissley, PH.D.
• Kendall Andre Noble, RKT
• Christine Nock

• General Practice Dentistry in Coatesville, PA
• Providers in Coatesville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.