Ezeani DDS Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

CA39398 Issued in CA

Legal business name

EZEANI DDS DENTAL CORP

Practice address

20763 Avalon Blvd
Carson, CA 90746-3313

Phone

(310) 719-1865

Fax

(310) 464-8304

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hyacinth Ezebilo Ezeani, D.D.SNPI 1104016765

Title

Doctor

Phone

(310) 719-1865

Specialties & licenses 1

Addresses

Other names 1

• EZ DENTAL CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hyacinth Ezebilo Ezeani, DDS

  • General Practice Dentistry
  • Carson, CA
  • NPI 1104016765

  CA, Dentist

  Medicare reassignment NPD Authorized official
• Ifeoma Lawretta Ezeani, OD

  • Optometrist
  • Carson, CA
  • NPI 1407816911
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1689896458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20763 AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463313",
            "telephone_number": "310-719-1865",
            "fax_number": "310-464-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20763 AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463313",
            "telephone_number": "310-719-1865",
            "fax_number": "310-464-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZEANI DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "EZEANI",
        "authorized_official_first_name": "HYACINTH",
        "authorized_official_middle_name": "EZEBILO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-719-1865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "CA39398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZ DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Excel Housing and Stability Foundation
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• Eyesmile Optometry, Inc
• Ijeoma Eze
• Pascal Eze
• Hyacinth Ezebilo Ezeani, DDS
• Ifeoma Lawretta Ezeani, OD
• Joann Nneka Ezeibe, RN, BSN
• Uzodinma Ezeibekwe
• Maria Fabian, RPT

• All providers in Carson, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.