Ohiosumuan Chibuikem Ehimiaghe, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13007 Issued in NC

Practice address

3401 Raleigh Road Pkwy W Ste 10C
Wilson, NC 27896-8222

Phone

(252) 653-4099

NPI assigned

Aug 29, 2022

Last updated

Nov 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alles & Associates North Carolina

  dba Ideal Dental Wilson

  • Dentist
  • Wilson, NC
  • NPI 1205595998
  NPD
• Alles & Associates North Carolina

  dba Ideal Dental Fayetteville

  • Dentist
  • Fayetteville, NC
  • NPI 1982362018
  NPD
• Alterman & Dhillon Eastern NC, PPLC

  • Dentist
  • Wilson, NC
  • NPI 1780175034
  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1801516125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 RALEIGH ROAD PKWY W STE 10C",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 RALEIGH ROAD PKWY W STE 10C",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968222",
            "telephone_number": "252-653-4099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4251 Ramsey St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283112130",
            "country_code": "US",
            "telephone_number": "910-716-0105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9648 Chapel Hill Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275607846",
            "country_code": "US",
            "telephone_number": "919-322-3588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHIMIAGHE",
        "first_name": "OHIOSUMUAN",
        "middle_name": "CHIBUIKEM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13007",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gregory Eugene Edwards
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• Rebecca L Eichner, DPT
• Patricia Louise Elder, P.T.

• General Practice Dentistry in Wilson, NC
• Providers in Wilson, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.