Individual provider Active NPI

Christian N Obioma

  • Contractor
  • Austin, TX
National Provider Identifier
1760887335
Registry record updated Oct 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
1949144 Issued in TX
Practice address
14205 Burnet Rd
Suite 330
Austin, TX 78728-6527
Phone
(512) 775-7225
NPI assigned
Oct 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 1949144 TX Primary

Addresses

Primary practice location

14205 Burnet Rd
Suite 330
Austin, TX 78728-6527

Mailing address

1209 Afghan Path
Round Rock, TX 78664-3439
Phone (512) 775-7225

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
1949144TXMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414195200000",
    "number": "1760887335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 AFGHAN PATH",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643439",
            "telephone_number": "512-775-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 BURNET RD",
            "address_2": "SUITE 330",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286527",
            "telephone_number": "512-775-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIOMA",
        "first_name": "CHRISTIAN",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-25",
        "last_updated": "2014-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "1949144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2014; 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.