Okumu Dental Center, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS036492 Issued in PA

Legal business name

OKUMU DENTAL CENTER, PC

Practice address

1131 Olive St
Coatesville, PA 19320-3518

Phone

(610) 466-9545

Fax

(610) 466-9545

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Walter Okumu Ngaji-Okumu, DDS

Title

Owner

Phone

(610) 466-9545

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1922187517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 OLIVE ST",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203518",
            "telephone_number": "610-466-9545",
            "fax_number": "610-466-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 OLIVE ST",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203518",
            "telephone_number": "610-466-9545",
            "fax_number": "610-466-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKUMU DENTAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "NGAJI-OKUMU",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "OKUMU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-466-9545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS036492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018743640002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST  LICENSE",
            "identifier": "DS036492",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rabin Katan Nouranifar, MD PHD
• Nursefriend Homecare LLC
• Casey Anne O'Hara, PSY.D.
• Heather L O'Lone
• Guilene Ojikutu, PA-C
• Georgia Okumura, RD, LDN
• Paola Ormachea, FNP
• Lydia Akinyi Ouma
• Denise Ellen Outzs-Cleveland, BSN
• Michael Owen, PA-C

• Dental Clinic/Center in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.