Ifechi Obiora Nduka, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38612 Issued in TX

Practice address

3450 S State Highway 161 Ste 200
Grand Prairie, TX 75052-7281

Phone

(972) 820-7214

NPI assigned

Jun 13, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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.

• Ideal Dental of Grand Prairie PLLC

  • Dentist
  • Grand Prairie, TX
  • NPI 1528569019
  NPD

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1508596560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12770 MERIT DR STE 850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511438",
            "telephone_number": "972-361-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 S STATE HIGHWAY 161 STE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527281",
            "telephone_number": "972-820-7214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 E Broad St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760635633",
            "country_code": "US",
            "telephone_number": "682-400-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDUKA",
        "first_name": "IFECHI",
        "middle_name": "OBIORA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Seating & Mobility, Inc.
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Fiza Nazir, MD
• NCLB- No Child Left Behind Inc.
• Bih Ndah
• Amy Lynette Neal, M.ED, LPC
• Nec Grand Prairie Emergency Center, LP
• Nef Healthcare Services Inc
• Neighborhood Rapid Tax and Financial SVCS (Neighborhood House - Assisted Living of Arlington)
• Caitlyn Michelle Neitz

• General Practice Dentistry in Grand Prairie, TX
• Providers in Grand Prairie, 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 Jun 13, 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.

Verify at the official NPI Registry.