Omari Onyango, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54183 Issued in CA

Practice address

12384 Palmdale Rd
Suite 204
Victorville, CA 92392-8506

Phone

(760) 843-5400

NPI assigned

Jan 12, 2007

Last updated

May 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Omari Onyango DDS a Professional

  dba Palmdale Family Dental & Orthodontics

  • General Practice Dentistry
  • Victorville, CA
  • NPI 1346447711
  NPD (past) Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1881744415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14429 DALTON CT",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923943213",
            "telephone_number": "760-245-5515",
            "fax_number": "760-245-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12384 PALMDALE RD",
            "address_2": "SUITE 204",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928506",
            "telephone_number": "760-843-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYANGO",
        "first_name": "OMARI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One Step One Change Foundation
• One Step One Change Foundation
• One Step One Change Foundation
• Henry Spencer Oneal, DR.AD, LEP, CATC
• Madeleine Ong-Veloso, N.P.
• Thein Oo, MD
• Brian Opdenhoff, PT
• Optimum Care Provider, Inc.
• Option One Home Medical Equipment, Inc
• Jose Carlos Oregel

• General Practice Dentistry in Victorville, CA
• Providers in Victorville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.