Individual provider Active NPI

Chijioke Ifeanyichukwu Ulasi, DMD

  • Dentist
  • Tuscaloosa, AL
National Provider Identifier
1447811666
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0006675-C1 Issued in AL
Practice address
2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235
Phone
(205) 349-3250
Fax
(205) 752-1517
NPI assigned
Jun 27, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0006675-C1 AL Primary

Addresses

Primary practice location

2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235

Mailing address

5886 Shades Run LN
Hoover, AL 35244-4110
Phone (404) 822-3533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20190930000128 AL Practitioner - Dentist 4486984713 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0006675-C1ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services Inc Current Accepting new patients
Whatley Health Services, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Whatley Health Services, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Whatley Health Services, Inc. Past Accepting new patients

Locations

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

Interoperability endpoints

  • Direct secure messaging: culasi599814@direct.ochin.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1447811666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5886 SHADES RUN LN",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444110",
            "telephone_number": "404-822-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 ML KING JR BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354015235",
            "telephone_number": "205-349-3250",
            "fax_number": "205-752-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULASI",
        "first_name": "CHIJIOKE",
        "middle_name": "IFEANYICHUKWU",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "0006675-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.