Individual provider Active NPI

Okeoma Nneka Umeozulu

  • Dentist
  • Sherman, TX
National Provider Identifier
1891983532
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24918 Issued in TX
Practice address
1827 Texoma Pkwy Ste 100
Sherman, TX 75090-2906
Phone
(443) 629-3613
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14193 MD
Dentist 122300000X 24918 TX Primary

Addresses

Primary practice location

1827 Texoma Pkwy Ste 100
Sherman, TX 75090-2906

Mailing address

932 Falcon Dr
Allen, TX 75013-4884
Phone (443) 629-3613

Other practice location 1

1120 E Parker Rd Ste 105
Plano, TX 75074-5374
Phone (443) 629-3613

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
24918TXMDDentist
14193MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Dental Care PC General Practice Past 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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1891983532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 FALCON DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134884",
            "telephone_number": "443-629-3613",
            "fax_number": "903-893-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 TEXOMA PKWY STE 100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902906",
            "telephone_number": "443-629-3613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E Parker Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750745374",
            "country_code": "US",
            "telephone_number": "443-629-3613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMEOZULU",
        "first_name": "OKEOMA",
        "middle_name": "NNEKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14193",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.