Organization Active NPI

Camp County Dental PLLC

  • Dentist
  • Pittsburg, TX
National Provider Identifier
1669968889
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30717 Issued in TX
Legal business name
CAMP COUNTY DENTAL PLLC
Practice address
113 M L King Jr Ave
Pittsburg, TX 75686
Phone
(903) 856-3343
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Dr. Afunrhe E Oghre-Ikanone, DDS
Title
Dentist
Phone
(314) 600-2775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30717 TX Primary

Addresses

Primary practice location

113 M L King Jr Ave
Pittsburg, TX 75686

Mailing address

113 M L King Jr Ave
Pittsburg, TX 75686
Phone (903) 856-3343

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1669968889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 M L KING JR AVE",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "75686",
            "telephone_number": "903-856-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 M L KING JR AVE",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "75686",
            "telephone_number": "903-856-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP COUNTY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "OGHRE-IKANONE",
        "authorized_official_first_name": "AFUNRHE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "314-600-2775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "30717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.