Organization Active NPI

Nwogene Management Corporation

Doing business as Smile Tech Dental

  • Dentist
  • Inglewood, CA
National Provider Identifier
1598163339
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NWOGENE MANAGEMENT CORPORATION
Doing business as
Smile Tech Dental
Practice address
8615 Crenshaw Blvd
Suite 203
Inglewood, CA 90305-2349
Phone
(424) 331-5716
Fax
(424) 331-5717
NPI assigned
Dec 10, 2014
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Mr. Godfrey Nwogene
Title
Office Manager
Phone
(310) 256-5936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

8615 Crenshaw Blvd
Suite 203
Inglewood, CA 90305-2349

Mailing address

8615 Crenshaw Blvd
Suite 203
Inglewood, CA 90305-2349
Phone (424) 331-5716

Other names 1

  • Smile Tech Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8615 Crenshaw Blvd
Ste 203
Inglewood, CA 90305
Phone (424) 331-5716

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1598163339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 CRENSHAW BLVD",
            "address_2": "SUITE 203",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052349",
            "telephone_number": "424-331-5716",
            "fax_number": "424-331-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 CRENSHAW BLVD",
            "address_2": "SUITE 203",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052349",
            "telephone_number": "424-331-5716",
            "fax_number": "424-331-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWOGENE MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "NWOGENE",
        "authorized_official_first_name": "GODFREY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-256-5936",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Tech Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.