Individual provider Active NPI

Sharon Thomas Okezie, DDS

  • Dentist
  • Cleveland, OH
National Provider Identifier
1881755205
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-022516 Issued in OH
Practice address
7043 Pearl Rd
Cleveland, OH 44130-4973
Phone
(440) 845-7900
Fax
(440) 845-7969
NPI assigned
Dec 12, 2006
Last updated
Feb 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 048219-1 NY
Dentist 122300000X 30-022516 OH Primary

Addresses

Primary practice location

7043 Pearl Rd
Cleveland, OH 44130-4973

Mailing address

7043 Pearl Rd
Cleveland, OH 44130-4973
Phone (440) 845-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160217002702 OH Order and Referring Only - DentistPractitioner - Dentist 3476858101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048219-1NYMDDentist
30-022516OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1881755205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7043 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441304973",
            "telephone_number": "440-845-7900",
            "fax_number": "440-845-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7043 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441304973",
            "telephone_number": "440-845-7900",
            "fax_number": "440-845-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEZIE",
        "first_name": "SHARON",
        "middle_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048219-1",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.