Active NPI
Amanche Ndonwa Ibe, DDS
- Dentist
- Artesia, CA
National Provider Identifier
1437377108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 52731
- Practice address
- 11635 South St
Childrens Dental BLDG
Artesia, CA 90701-6628 - Phone
- (562) 924-4401
- NPI assigned
- Apr 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 52731 | CA | Primary |
Addresses
Primary practice location
11635 South St
Childrens Dental BLDG
Artesia, CA 90701-6628
Mailing address
5666 Nelson St
Cypress, CA 90630
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52731 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437377108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5666 NELSON ST",
"city": "CYPRESS",
"state": "CA",
"postal_code": "90630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11635 SOUTH ST",
"address_2": "CHILDRENS DENTAL BLDG",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907016628",
"telephone_number": "562-924-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBE",
"first_name": "AMANCHE",
"middle_name": "NDONWA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Artesia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.