Active NPI
Chinonyelum Erokwu, DMD
- Dentist
- Ballwin, MO
National Provider Identifier
1467188342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2022025253
- Practice address
- 1310 Big Bend Rd
Ballwin, MO 63021-7643 - Phone
- (636) 225-3900
- NPI assigned
- Jul 25, 2022
- 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 | 2022025253 | MO | Primary |
Addresses
Primary practice location
1310 Big Bend Rd
Ballwin, MO 63021-7643
Mailing address
385 Messina Dr
Ballwin, MO 63021-6411
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 |
|---|---|---|---|
| 2022025253 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1467188342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 MESSINA DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630216411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 BIG BEND RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630217643",
"telephone_number": "636-225-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EROKWU",
"first_name": "CHINONYELUM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2022025253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.