Amanda Jo Okundaye, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

5993 Issued in NV

Practice address

11970 Montana Ave Apt 208
Los Angeles, CA 90049-5043

Phone

(310) 486-6656

Fax

(424) 208-3232

NPI assigned

May 27, 2008

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1700044781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 TROPICAL VINE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478079",
            "telephone_number": "310-486-6656",
            "fax_number": "866-235-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11970 MONTANA AVE APT 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495043",
            "telephone_number": "310-486-6656",
            "fax_number": "424-208-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNDAYE",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56779",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CA",
            "license": "56779",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NV",
            "license": "5993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Okudo
• Ndidi E Okugo
• Carol Okuhara, FNP-C, CPNP-AC
• Yevgeny Okumyansky, PHARM.D.
• Francie Okun
• Amenawon Osaze Okundaye, MD
• Marcelina Okungbowa
• Kaylie Naomi Okuni
• Jennifer M Okuno, PT
• Mark Scott Okuno, D.C.

• Dental Anesthesiology in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Anesthesiology in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.