Organization Active NPI

Dr. Ogufere DDS, P.C

  • Dentist
  • Gurnee, IL
National Provider Identifier
1386007490
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.026580 Issued in IL
Legal business name
DR. OGUFERE DDS, P.C
Practice address
6695 Grand Ave
Suite E
Gurnee, IL 60031-5268
Phone
(847) 855-1445
Fax
(847) 855-1423
NPI assigned
Apr 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Dr. Uhonmosen Ogufere, DDS
Title
Dentist
Phone
(847) 855-1556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019.026580 IL Primary

Addresses

Primary practice location

6695 Grand Ave
Suite E
Gurnee, IL 60031-5268

Mailing address

6695 Grand Ave
Suite E
Gurnee, IL 60031-5268
Phone (847) 855-1445

National Provider Directory

National Provider Directory

Locations

6695 Grand Ave
Ste E
Gurnee, IL 60031
Phone (847) 855-1445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1386007490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 GRAND AVE",
            "address_2": "SUITE E",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315268",
            "telephone_number": "847-855-1445",
            "fax_number": "847-855-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 GRAND AVE",
            "address_2": "SUITE E",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315268",
            "telephone_number": "847-855-1445",
            "fax_number": "847-855-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. OGUFERE DDS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "OGUFERE",
        "authorized_official_first_name": "UHONMOSEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-855-1556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.026580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.