Edmond Ebubechukwu Onwukwe

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

10989 Issued in KY

Practice address

11212 Professional Park Dr
Louisville, KY 40291-4476

Phone

(502) 742-2168

NPI assigned

May 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Binkley Endodontics, PLLC

  • Endodontics
  • Louisville, KY
  • NPI 1265196653
  NPD

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1699397984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W 35TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073444",
            "telephone_number": "301-768-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 PROFESSIONAL PARK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914476",
            "telephone_number": "502-742-2168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "424-306-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONWUKWE",
        "first_name": "EDMOND",
        "middle_name": "EBUBECHUKWU",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30.027110",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KY",
            "license": "10989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nkechi Zimuzo Onubogu
• Chioma Onuorah
• Onward Therapy LLC
• Oluwatoyosi Onwuemene, M.D.
• Akunna Onwuka
• Jia Ooi, DMD
• Theresa O. Oparah, FNP
• Abby Oparka, MA-CCC-SLP
• Open Arms Adhc LLC
• Open Arms of Ky

• Endodontics in Louisville, KY
• Providers in Louisville, KY by specialty
• Endodontics in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.