Organization Active NPI

Simeon O Udunka DDS PLLC

  • Dental Clinic/Center
  • Dallas, TX
National Provider Identifier
1831954007
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SIMEON O UDUNKA DDS PLLC
Practice address
5618 Lemmon Ave
Dallas, TX 75209
Phone
(214) 429-3244
NPI assigned
Feb 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Simeon UdunkaNPI 1346680378
Title
Member
Phone
(972) 987-0242

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5618 Lemmon Ave
Dallas, TX 75209

Mailing address

7750 N Macarthur Blvd Ste 120
Irving, TX 75063-7501
Phone (972) 987-0242

National Provider Directory

National Provider Directory

Locations

5618 Lemmon Ave
Dallas, TX 75209
Phone (214) 429-3244

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": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1831954007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 N MACARTHUR BLVD STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637501",
            "telephone_number": "972-987-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5618 LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75209",
            "telephone_number": "214-429-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMEON O UDUNKA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "UDUNKA",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "972-987-0242"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.