Organization Active NPI

Omene Dental Group LLC

  • General Practice Dentistry
  • Phoenixville, PA
National Provider Identifier
1790497196
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OMENE DENTAL GROUP LLC
Doing business as
Phoenixville Dental
Practice address
883 Valley Forge Rd
Phoenixville, PA 19460-2623
Phone
(610) 933-3717
NPI assigned
Dec 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Mr. Akpo Omene
Title
Owner
Phone
(215) 609-8649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

883 Valley Forge Rd
Phoenixville, PA 19460-2623

Mailing address

883 Valley Forge Rd
Phoenixville, PA 19460-2623
Phone (610) 933-3717

Other names 1

  • Phoenixville Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1790497196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 VALLEY FORGE RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602623",
            "telephone_number": "610-933-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 VALLEY FORGE RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602623",
            "telephone_number": "610-933-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMENE DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "OMENE",
        "authorized_official_first_name": "AKPO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-609-8649",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenixville Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.