Individual provider Active NPI

Uchenna Umerah

  • Dentist
  • Brooklyn Park, MN
National Provider Identifier
1831848803
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14801 Issued in MN
Practice address
5820 74TH Ave N Ste 110
Brooklyn Park, MN 55443-3140
Phone
(763) 561-7000
NPI assigned
Mar 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D14801 MN Primary

Addresses

Primary practice location

5820 74TH Ave N Ste 110
Brooklyn Park, MN 55443-3140

Mailing address

5820 74TH Ave N Ste 110
Brooklyn Park, MN 55443-3140

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
D14801MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Artura Dental Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1831848803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 74TH AVE N STE 110",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 74TH AVE N STE 110",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433140",
            "telephone_number": "763-561-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMERAH",
        "first_name": "UCHENNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-07-06",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.