Ogechi Amadi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7967 Issued in NV

Practice address

2570 Wigwam Pkwy
Henderson, NV 89074-6224

Phone

(702) 757-3399

NPI assigned

Jun 14, 2023

Last updated

May 17, 2024By 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

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1679257240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7581 JACARANDA BAY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891395313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746224",
            "telephone_number": "702-757-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7581 Jacaranda Bay St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891395313",
            "country_code": "US",
            "telephone_number": "702-303-7418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 13th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981082706",
            "country_code": "US",
            "telephone_number": "206-461-6950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMADI",
        "first_name": "OGECHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DERE.RR.61448989",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduard Shannon Gustilo Alvior, RN
• John Richard Alway, D.O.
• Always Quality Home Health LLC
• Dina Alzadon, MSN, AGPCNP-BC
• Patricia Alzola
• Melanie Ritz Odivelas Amago
• Amal Kamil Obaid-Schmid, MD PLLC (Elite Rapid Care Surgical)
• Amal Kamil Obaid-Schmid, MD PLLC (Elite Rapid Care)
• Amal Kamil Obaid-Schmid, MD PLLC (Elite Rapid Care UC)
• Amanda Yurko LCPC, Prof. LLC

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.