Individual provider Active NPI

Umunna Christian Nwokorie, DMD

  • Dentist
  • Decatur, TX
National Provider Identifier
1548423445
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25799 Issued in TX
Practice address
2100 Reeves Rd
Decatur, TX 76234-3855
Phone
(940) 627-8400
Fax
(940) 627-8402
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 25799 TX Primary

Addresses

Primary practice location

2100 Reeves Rd
Decatur, TX 76234-3855

Mailing address

2100 Reeves Rd
Decatur, TX 76234-3855
Phone (940) 627-8400

Other identifiers 1

IdentifierTypeStateIssuer
215320712MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25799TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Ventures PLLC Dentist Past Accepting new patients
Hurst City Family and Cosmetic Dentistry Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1548423445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 REEVES RD",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343855",
            "telephone_number": "940-627-8400",
            "fax_number": "940-627-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 REEVES RD",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343855",
            "telephone_number": "940-627-8400",
            "fax_number": "940-627-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKORIE",
        "first_name": "UMUNNA",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2012-08-02",
        "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": "TX",
            "license": "25799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215320712",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.