Chioma N Imo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

35506 Issued in TX

Practice address

6245 Highway 6 Ste 400
Missouri City, TX 77459-4765

Phone

(281) 969-5099

Fax

(281) 969-7729

NPI assigned

Apr 30, 2008

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Chioma N Imo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teledentist365 Foundation

  • Public Health or Welfare Agency
  • Pearland, TX
  • NPI 1477171973
  NPD Authorized official
• Tender Touch Dental Care, LLC

  • Dentist
  • Mitchellville, MD
  • NPI 1578877213
  NPD (past) Authorized official
• Texas Dental Associates, PA

  dba Lovett Dental

  • General Practice Dentistry
  • Missouri City, TX
  • NPI 1427330596
  NPD (past)
• Capital Family Dental Center PC

  • Dentist
  • Mitchellville, MD
  • NPI 1437360096
  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1639345572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 AMHERST ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770053207",
            "telephone_number": "713-490-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 HIGHWAY 6 STE 400",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594765",
            "telephone_number": "281-969-5099",
            "fax_number": "281-969-7729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12164 Central Ave",
            "address_2": "Suite 218",
            "address_purpose": "LOCATION",
            "city": "Mitchellville",
            "state": "MD",
            "postal_code": "207211944",
            "country_code": "US",
            "telephone_number": "301-249-4404",
            "fax_number": "301-249-2209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMO",
        "first_name": "CHIOMA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35506",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIOMA",
            "last_name": "IMO",
            "middle_name": "N",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Dentist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.