Individual provider Active NPI

Daniel Edobor Ekoh, DMD

  • General Practice Dentistry
  • Lynchburg, VA
National Provider Identifier
1710687074
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401418628 Issued in VA
Practice address
4011 Wards Rd
Lynchburg, VA 24502-2943
Phone
(434) 329-3197
NPI assigned
Mar 6, 2023
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401418628 VA Primary

Addresses

Primary practice location

4011 Wards Rd
Lynchburg, VA 24502-2943

Mailing address

1002 Oakley Ave Apt C
Lynchburg, VA 24501-3758
Phone (434) 258-4941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401418628VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1710687074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 OAKLEY AVE APT C",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245013758",
            "telephone_number": "434-258-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 WARDS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022943",
            "telephone_number": "434-329-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKOH",
        "first_name": "DANIEL",
        "middle_name": "EDOBOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

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