Organization Active NPI

Ndidi Onugha Uka DDS Inc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1790151249
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60123 Issued in CA
Legal business name
NDIDI ONUGHA UKA DDS INC
Practice address
3756 Santa Rosalia Dr Ste 517
Los Angeles, CA 90008-3656
Phone
(323) 298-7992
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Ndidi UkaNPI 1700181880
Title
Owner
Phone
(323) 298-7992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60123 CA Primary

Addresses

Primary practice location

3756 Santa Rosalia Dr Ste 517
Los Angeles, CA 90008-3656

Mailing address

3756 Santa Rosalia Dr Ste 517
Los Angeles, CA 90008-3656
Phone (323) 298-7992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161220002584 CA Part B Supplier - Clinic/Group Practice 9931480423 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Tax ID family
Ndidi Onugha Uka DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3756 Santa Rosalia Dr
Ste 517
Los Angeles, CA 90008
Phone (310) 926-3570

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1790151249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR STE 517",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083656",
            "telephone_number": "323-298-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR STE 517",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083656",
            "telephone_number": "323-298-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDIDI ONUGHA UKA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "UKA",
        "authorized_official_first_name": "NDIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-298-7992"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "60123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.