Individual provider Active NPI

Ehidanmegbe Okunwa Akharume, D.D.S.

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1528371978
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
123G0001X Issued in TN
Practice address
3455 Government St
Baton Rouge, LA 70806
Phone
(225) 341-8332
NPI assigned
Jul 14, 2010
Last updated
Sep 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6337 LA
General Practice Dentistry 1223G0001X 4025-18 MS
General Practice Dentistry 1223G0001X 123G0001X TN Primary

Addresses

Primary practice location

3455 Government St
Baton Rouge, LA 70806

Mailing address

730 Chambord Dr
Brandon, MS 39042-4016
Phone (601) 212-9653

Other practice location 1

401 S Gloster St
Tupelo, MS 38801-5540
Phone (662) 269-4027

Other practice location 2

1005 Dr. D.B. Todd Jr. Blvd.
Nashville, TN 37208-3599
Phone (615) 321-6436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20240325002829 MS Order and Referring Only - DentistPractitioner - Dentist 3779920848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6337LAMDGeneral Practice Dentistry
4025-18MSMDGeneral Practice Dentistry
123G0001XTNMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: eakharume152270@ummc.direct-ci.com
  • Direct secure messaging: ehidanmegbe.akharume.p12@direct.360care.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1528371978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 CHAMBORD DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390424016",
            "telephone_number": "601-212-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 GOVERNMENT ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-341-8332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 S Gloster St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388015540",
            "country_code": "US",
            "telephone_number": "662-269-4027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Dr. D.B. Todd Jr. Blvd.",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372083599",
            "country_code": "US",
            "telephone_number": "615-321-6436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKHARUME",
        "first_name": "EHIDANMEGBE",
        "middle_name": "OKUNWA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6337",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4025-18",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "123G0001X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.