Organization Active NPI

Ette Ntekim DDS Inc.

Doing business as Seren Advanced Dentistry Oxnard

  • Dental Clinic/Center
  • Oxnard, CA
National Provider Identifier
1922822410
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ETTE NTEKIM DDS INC.
Doing business as
Seren Advanced Dentistry Oxnard
Practice address
451 West Gonzales Rd
Suite 250
Oxnard, CA 93036-0728
Phone
(213) 256-9561
NPI assigned
Nov 11, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Dr. Ette Ntekim, DDSNPI 1558185322
Title
President
Phone
(470) 836-8999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

451 West Gonzales Rd
Suite 250
Oxnard, CA 93036-0728

Mailing address

451 West Gonzales Rd
Suite 250
Oxnard, CA 93036-0728
Phone (213) 256-9561

Other names 1

  • Seren Advanced Dentistry Oxnard Doing business as

National Provider Directory

National Provider Directory

Locations

451 W Gonzales Rd
Ste 250
Oxnard, CA 93036
Phone (213) 256-9561

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1922822410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 WEST GONZALES RD",
            "address_2": "SUITE 250",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360728",
            "telephone_number": "213-256-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 WEST GONZALES RD",
            "address_2": "SUITE 250",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360728",
            "telephone_number": "213-256-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETTE NTEKIM DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "NTEKIM",
        "authorized_official_first_name": "ETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "470-836-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seren Advanced Dentistry Oxnard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.