Emmanuel Utah

Primary specialty

DentistTaxonomy code 122300000X

License

8009 Issued in OK

Practice address

600 Country Club Rd
Lumberton, NC 28360-0428

Phone

(910) 737-6457

Fax

(910) 739-7673

NPI assigned

Dec 1, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• East Carolina University

  • Dentist
  • Lumberton, NC
  • NPI 1538563473
  NPD
• Summer Dental Stillwater, PLLC

  • Dental Clinic/Center
  • Stillwater, OK
  • NPI 1427669936
  NPD
• Okc Dental Health Associates, P.C.

  • General Practice Dentistry
  • Stillwater, OK
  • NPI 1306266259
  NPD (past)

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1497521264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N PERKINS RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740753076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COUNTRY CLUB RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283600428",
            "telephone_number": "910-737-6457",
            "fax_number": "910-739-7673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 N Perkins Rd",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740753076",
            "country_code": "US",
            "telephone_number": "405-372-7051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UTAH",
        "first_name": "EMMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-01",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "8009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unique Family Services, LLC
• Unique Family Services, LLC
• Wanda C Untch, CRNA
• Urgent Cares of America North Carolina Inc
• Ayesha Urooj, MD
• Celso De Guzman Valdez Jr., PT, DPT
• Vanessa McNeill
• Brandon Vargas, DO
• Katya Matide Vasquez, MSW, LCSW-A
• Srinivasu Vatti

• Dentist in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.