Erika Charles Oguanobi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0021529 Issued in TX

Practice address

3483 W FM 544
Suite 112
Wylie, TX 75098-7457

Phone

(972) 429-4664

Fax

(972) 429-4665

NPI assigned

Jan 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

State licenses

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.

• Embrace Dentistry PC

  • General Practice Dentistry
  • Wylie, TX
  • NPI 1235389172
  NPD (past) Authorized official

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1477533842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 VIBURNUM DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987457",
            "telephone_number": "972-442-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3483 W FM 544",
            "address_2": "SUITE 112",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987457",
            "telephone_number": "972-429-4664",
            "fax_number": "972-429-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUANOBI",
        "first_name": "ERIKA",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0021529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905721-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theophilus Obi
• Catherine A Obiako, REGISTERED NURSE
• Chikaodi Blessing Obonna
• Occupational Health Centers of the Southwest P.a.
• Abigail Christine Offill, SLP-CCC
• Pauline Izuchukwu Oji, NP
• Justina Ada Okeke, FNP
• Chibuike Samuel Okonkwo, RN
• Geraldine Nneka Okpara
• Brenda Oksanen

• General Practice Dentistry in Wylie, TX
• Providers in Wylie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.