Individual provider Active NPI

Johncross Chidubem Nwadije, DDS

  • General Practice Dentistry
  • Augusta, GA
National Provider Identifier
1811726904
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DGD.11493.GD Issued in SC
Practice address
3456 Wrightsboro Rd
Augusta, GA 30909-2678
Phone
(706) 251-7917
NPI assigned
Jul 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN124359 GA
General Practice Dentistry 1223G0001X DGD.11493.GD SC Primary

Addresses

Primary practice location

3456 Wrightsboro Rd
Augusta, GA 30909-2678

Mailing address

1252 Knox Ave
North Augusta, SC 29841-4055
Phone (803) 426-5039

Other practice location 1

1252 Knox Ave
North Augusta, SC 29841-4055
Phone (979) 326-0996

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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1811726904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 KNOX AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298414055",
            "telephone_number": "803-426-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 WRIGHTSBORO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092678",
            "telephone_number": "706-251-7917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1252 Knox Ave",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298414055",
            "country_code": "US",
            "telephone_number": "979-326-0996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWADIJE",
        "first_name": "JOHNCROSS",
        "middle_name": "CHIDUBEM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-29",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN124359",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.11493.GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.