Active NPI
Juanita Okemwa, B.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Culver City, CA
National Provider Identifier
1760484463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 51689
- Practice address
- 10842 Washington Blvd
Culver City, CA 90232-3610 - Phone
- (310) 559-2935
- Fax
- (310) 559-0859
- NPI assigned
- Aug 11, 2005
- Last updated
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 51689 | CA | Primary |
Addresses
Primary practice location
10842 Washington Blvd
Culver City, CA 90232-3610
Mailing address
117 S Los Robles Ave
Pasadena, CA 91101-2417
Phone (626) 585-9455
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 |
|---|---|---|---|
| 51689 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1760484463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 S LOS ROBLES AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012417",
"telephone_number": "626-585-9455",
"fax_number": "626-449-4932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10842 WASHINGTON BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323610",
"telephone_number": "310-559-2935",
"fax_number": "310-559-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEMWA",
"first_name": "JUANITA",
"name_prefix": "Dr.",
"credential": "B.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "51689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.