Active NPI
Nancy Nkemjika Okeke, DDS
- Prosthodontics
- Kenosha, WI
National Provider Identifier
1497060354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 1002172
- Practice address
- 7117 Green Bay Rd
Kenosha, WI 53142-1450 - Phone
- (718) 543-7283
- NPI assigned
- Aug 16, 2010
- Last updated
- Sep 10, 2019
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 1002172 | WI | Primary |
Addresses
Primary practice location
7117 Green Bay Rd
Kenosha, WI 53142-1450
Mailing address
7117 Green Bay Rd
Kenosha, WI 53142-1450
Phone (802) 750-1917
Other names 1
- Mrs. Nancy Okeke Emelogu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191010000968 | WI | Order and Referring Only - Dentist | 4385975051 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002172 | WI | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Eidman DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1497060354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7117 GREEN BAY RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531421450",
"telephone_number": "802-750-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7117 GREEN BAY RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531421450",
"telephone_number": "718-543-7283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEKE",
"first_name": "NANCY",
"middle_name": "NKEMJIKA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-16",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "WI",
"license": "1002172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "EMELOGU",
"middle_name": "OKEKE",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.