Active NPI
Nnennaya Ogbuehi, DMD
- Dentist
- Lithonia, GA
National Provider Identifier
1962028134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN016078
- Practice address
- 2998 Panola Rd
Lithonia, GA 30038-2394 - Phone
- (770) 872-0662
- NPI assigned
- Jun 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN016078 | GA | Primary |
Addresses
Primary practice location
2998 Panola Rd
Lithonia, GA 30038-2394
Mailing address
2090 Pleasant Hollow Dr
Lithonia, GA 30058-1523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210629000751 | GA | Order and Referring Only - Dentist | 0446651459 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN016078 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1962028134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 PLEASANT HOLLOW DR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300581523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2998 PANOLA RD",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300382394",
"telephone_number": "770-872-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBUEHI",
"first_name": "NNENNAYA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN016078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.