Active NPI
Ufoma Omohefe Udezi
- Land Ambulance
- Grand Prairie, TX
National Provider Identifier
1710737606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Practice address
- 2955 Alouette Dr Apt 712
Grand Prairie, TX 75052-8171 - Phone
- (404) 916-2625
- NPI assigned
- Mar 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
2955 Alouette Dr Apt 712
Grand Prairie, TX 75052-8171
Mailing address
2955 Alouette Dr Apt 712
Grand Prairie, TX 75052-8171
Phone (404) 916-2625
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1710737606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 ALOUETTE DR APT 712",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750528171",
"telephone_number": "404-916-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 ALOUETTE DR APT 712",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750528171",
"telephone_number": "404-916-2625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDEZI",
"first_name": "UFOMA",
"middle_name": "OMOHEFE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-25",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.