Shedrack Okojie, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

32169 Issued in TX

Practice address

1365 Barrow St
Abilene, TX 79605-5171

Phone

(325) 480-4248

NPI assigned

Aug 10, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lush Dental and Implants

  • General Practice Dentistry
  • Hudson Oaks, TX
  • NPI 1124955919
  NPD Authorized official
• Lush Dental and Implants

  • Dental Clinic/Center
  • Hudson Oaks, TX
  • NPI 1740987312
  NPD Authorized official
• Lushdental

  • General Practice Dentistry
  • San Angelo, TX
  • NPI 1881187987
  NPD (past) Authorized official

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1417401134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 AVIATOR DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796061832",
            "telephone_number": "646-256-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 BARROW ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796055171",
            "telephone_number": "325-480-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOJIE",
        "first_name": "SHEDRACK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Oduro, CCC-SLP
• Nicole Christine Oglevee, MS, CCC-SLP
• Young R Oh, PHARM.D.
• Anderson Okafor, M.D.
• Chucky Okoh
• Michie Y Okura, PA-C
• Ashley Oladunni, FNP
• Olurotimi Oladunni, M.D.
• Dotun Abimbola Olaniyan, FNP-C
• Oluwanbo Iretidayo Olanrewaju, PHARMD

• Dentist in Abilene, TX
• Providers in Abilene, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.

Verify at the official NPI Registry.