Active NPI
Okay H. Odocha, MD
- Surgery Physician
- Silver City, NM
National Provider Identifier
1417198953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2009-0004
- Practice address
- 1302 E 32ND St Ste a
Silver City, NM 88061-7215 - Phone
- (575) 956-6633
- Fax
- (575) 956-6615
- NPI assigned
- Mar 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2009-0004 | NM | Primary |
Addresses
Primary practice location
1302 E 32ND St Ste a
Silver City, NM 88061-7215
Mailing address
1302 E 32ND St Ste a
Silver City, NM 88061-7215
Phone (575) 956-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009-0004 | NM | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1417198953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 E 32ND ST STE A",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880617215",
"telephone_number": "575-956-6633",
"fax_number": "575-956-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 E 32ND ST STE A",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880617215",
"telephone_number": "575-956-6633",
"fax_number": "575-956-6615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOCHA",
"first_name": "OKAY",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-12",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "2009-0004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.