Active NPI
Cletus O Okonkwo
- Contractor
- Spring, TX
National Provider Identifier
1760686109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 24800 Interstate 45
Suite 110
Spring, TX 77386-2344 - Phone
- (281) 419-9901
- Fax
- (281) 419-7551
- NPI assigned
- Jun 11, 2007
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
24800 Interstate 45
Suite 110
Spring, TX 77386-2344
Mailing address
24800 Interstate 45
Suite 110
Spring, TX 77386-2344
Phone (281) 419-9901
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": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760686109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24800 INTERSTATE 45",
"address_2": "SUITE 110",
"city": "SPRING",
"state": "TX",
"postal_code": "773862344",
"telephone_number": "281-419-9901",
"fax_number": "281-419-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24800 INTERSTATE 45",
"address_2": "SUITE 110",
"city": "SPRING",
"state": "TX",
"postal_code": "773862344",
"telephone_number": "281-419-9901",
"fax_number": "281-419-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKONKWO",
"first_name": "CLETUS",
"middle_name": "O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.