Lushdental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32169 Issued in TX

Legal business name

LUSHDENTAL

Practice address

1912 Sherwood Way
San Angelo, TX 76901-3926

Phone

(646) 256-2551

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Shedrack Okojie, DDSNPI 1417401134

Title

Owner

Phone

(646) 256-2551

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shedrack Okojie, DDS

  • Dentist
  • Abilene, TX
  • NPI 1417401134
  NPD (past) Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1881187987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 SHERWOOD WAY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013926",
            "telephone_number": "646-256-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 SHERWOOD WAY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013926",
            "telephone_number": "646-256-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUSHDENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "OKOJIE",
        "authorized_official_first_name": "SHEDRACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-256-2551",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Ludwig, APRN, FNP-BC
• Samuel Luedecke, RN, MSN, FNP-BC
• Shun H Lui, MD
• Lummus Pharm Inc
• Sara L Lummus, PHARM D
• Gene Paul Lusk, D C
• Nicole Lusk
• Mary Beth Luttrell, FNP
• Jessica Lutz, APRN FNP-C
• Luxottica Retail North America Inc

• General Practice Dentistry in San Angelo, TX
• Providers in San Angelo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.