Bibiana Chioma Ezeanolue, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

S6-118 Issued in NV

Practice address

1750 Wheeler Peak Dr
Las Vegas, NV 89106-2150

Phone

(702) 272-1100

Fax

(702) 998-0675

NPI assigned

Jul 3, 2009

Last updated

Dec 15, 2016By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1356570998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 WHEELER PEAK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062150",
            "telephone_number": "702-272-1100",
            "fax_number": "702-998-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 WHEELER PEAK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062150",
            "telephone_number": "702-272-1100",
            "fax_number": "702-998-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEANOLUE",
        "first_name": "BIBIANA",
        "middle_name": "CHIOMA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-03",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28621",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "S6-118",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "L1596214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356570998",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyescopelv LLC (EyeScopeLV)
• Eyetopia, LLC
• Aubrey Eyre Bohne
• Cosmas Eze, ADMINISTRATOR
• Adaobi Ezeanolue, APRN
• Chinenye Ezeanolue, MD
• Dolue David Ezeanolue, MD
• Echezona Edozie Ezeanolue, M.D.
• Edozie Ezeanolue, MD
• Kanayo Afamefina Ezeanolue, MD

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.