Isioma a Okonmah, D.D.S., M.P.H., P.a. Concord

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ISIOMA A OKONMAH, D.D.S., M.P.H., P.A. CONCORD

Doing business as

Vident Dentistry

Practice address

538 Lake Concord Rd NE
Concord, NC 28025-2926

Phone

(704) 780-4333

Fax

(704) 780-4330

NPI assigned

Dec 19, 2019

Last updated

Dec 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Isioma Okonmah, D.D.S.

Title

Dentist/Owner

Phone

(704) 780-4333

Specialties & licenses 1

Addresses

Other names 1

• VIDENT DENTISTRY Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1396383345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1082",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280261082",
            "telephone_number": "704-780-4333",
            "fax_number": "704-780-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 LAKE CONCORD RD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252926",
            "telephone_number": "704-780-4333",
            "fax_number": "704-780-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISIOMA A OKONMAH, D.D.S., M.P.H., P.A. CONCORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "OKONMAH",
        "authorized_official_first_name": "ISIOMA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "704-780-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Concord",
            "affiliation": "N",
            "address_1": "538 Lake Concord Rd NE",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280252926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "VIDENT DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Concord, NC
• Providers in Concord, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.