Active NPI
Eberechukwu Gail Njoku, DDS
- General Practice Dentistry
- Greenville, SC
National Provider Identifier
1720564255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9202
- Practice address
- 3 K Mart PLZ
Greenville, SC 29605-4442 - Phone
- (678) 516-8619
- NPI assigned
- Jul 18, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9202 | SC | Primary |
Addresses
Primary practice location
3 K Mart PLZ
Greenville, SC 29605-4442
Mailing address
407 Creek Run Dr
Woodstock, GA 30188-1951
Phone (678) 516-8619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9202 | Other | SC | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9202 | SC | MD | Massage Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1720564255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 CREEK RUN DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301881951",
"telephone_number": "678-516-8619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 K MART PLZ",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054442",
"telephone_number": "678-516-8619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NJOKU",
"first_name": "EBERECHUKWU",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "9202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "9202",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.