Organization Active NPI

Emamefe Okinedo DMD PLLC

Doing business as MKR Dental

  • Dentist
  • Richmond, TX
National Provider Identifier
1629846878
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
EMAMEFE OKINEDO DMD PLLC
Doing business as
MKR Dental
Practice address
21922 Bellaire Blvd Ste A400
Richmond, TX 77407-3918
Phone
(662) 380-0331
NPI assigned
Dec 18, 2023
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Dr. Emamefe Ewomazino Okinedo, DMDNPI 1164061453
Title
Dentist
Phone
(281) 698-0894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

21922 Bellaire Blvd Ste A400
Richmond, TX 77407-3918

Mailing address

21922 Bellaire Blvd Ste A400
Richmond, TX 77407-3918
Phone (281) 698-0894

Other names 1

  • MKR DENTAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250408003963 TX Part B Supplier - Clinic/Group Practice 6800310145 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, TX

National Provider Directory

National Provider Directory

Locations

21922 Bellaire Blvd
Ste 400
Richmond, TX 77407
Phone (346) 762-2751

21922 Bellaire Blvd
Ste A400
Richmond, TX 77407
Phone (662) 380-0331

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1629846878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21922 BELLAIRE BLVD STE A400",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073918",
            "telephone_number": "281-698-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21922 BELLAIRE BLVD STE A400",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073918",
            "telephone_number": "662-380-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMAMEFE OKINEDO DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "OKINEDO",
        "authorized_official_first_name": "EMAMEFE",
        "authorized_official_middle_name": "EWOMAZINO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-698-0894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MKR DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.