Active NPI
Kelechi Ononauju Okereke, DDS
- Pediatric Dentistry
- Danville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401418328
- Practice address
- Piedmont Access to Health Services
116 S Ridge Street
Danville, VA 24541-0001 - Phone
- (434) 791-3630
- Fax
- (434) 791-4088
- NPI assigned
- Jun 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401418328 | VA | Primary |
Addresses
Primary practice location
Piedmont Access to Health Services
116 S Ridge Street
Danville, VA 24541-0001
Mailing address
102 Tandy CT
Jamestown, NC 27282-9739
Phone (919) 353-3445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Access to Health Services, Inc | Current | Accepting new patients | |
| Piedmont Access to Health Services Inc | Current | Accepting new patients | |
| Piedmont Access to Health Services, Inc | Current | Accepting new patients |
Locations
380 Washington St
Boydton, VA 23917
Phone (434) 738-6102
30 S Main St
Chatham, VA 24531
Phone (434) 432-4443
705 Main St
Danville, VA 24541
Phone (434) 791-4122
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Danville, VA
- NPI 1649240698
-
dba Health Center of the Piedmont Chatham
- Federally Qualified Health Center (FQHC)
- Chatham, VA
- NPI 1558545269
-
dba PATHS Community Medical Center Danville Riverside
- Federally Qualified Health Center (FQHC)
- Danville, VA
- NPI 1114630662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1386261097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 TANDY CT",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272829739",
"telephone_number": "919-353-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PIEDMONT ACCESS TO HEALTH SERVICES",
"address_2": "116 S RIDGE STREET",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245410001",
"telephone_number": "434-791-3630",
"fax_number": "434-791-4088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEREKE",
"first_name": "KELECHI",
"middle_name": "ONONAUJU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-29",
"last_updated": "2024-06-14",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401418328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.