Ikenna K Okafor, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31579 Issued in TX

Practice address

1652 Pat Booker Rd
Universal City, TX 78148-3433

Phone

(210) 658-4011

Fax

(210) 658-3471

NPI assigned

Aug 10, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lone Star Sleep Solutions PLLC

  • Customized Equipment (DME)
  • Universal City, TX
  • NPI 1093406894

  Dentist

  NPD Authorized official
• Premier Smiles PLLC

  dba Universal Dental

  • Dental Clinic/Center
  • Universal City, TX
  • NPI 1164137303
  NPD Authorized official
• Sabal Dental Bay Area PLLC

  • General Practice Dentistry
  • Corpus Christi, TX
  • NPI 1205558806
  NPD
• Bee Center for Dentistry PLLC

  • General Practice Dentistry
  • Beeville, TX
  • NPI 1053631754
  NPD (past)

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1942686225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 PAT BOOKER RD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483433",
            "telephone_number": "210-658-4011",
            "fax_number": "210-658-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 PAT BOOKER RD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483433",
            "telephone_number": "210-658-4011",
            "fax_number": "210-658-3471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Santa Fe St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042339",
            "country_code": "US",
            "telephone_number": "361-887-6093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 N Saint Marys St",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781024048",
            "country_code": "US",
            "telephone_number": "361-358-3384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKAFOR",
        "first_name": "IKENNA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31579",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie T Nielsen, LVN
• Victoria Nunez
• Amanda Witt Nunley, M.D.
• Udochukwu Eden Nwankwo
• Laurie Anne Obrien-Casey
• Olympia Surgical Associates, Inc. (Olympia Surgery Center)
• Ronald Orr
• Judith Ortiz
• Christopher Okonkwor Osaji, PHARMD
• Outreach for Smiles of Colorado, PLLC

• General Practice Dentistry in Universal City, TX
• Providers in Universal City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.