Individual provider Active NPI

Nnamdi A Nwokeuku

  • Cardiovascular Specialist/Technologist
  • Plano, TX
National Provider Identifier
1962695346
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
License
00052156 Issued in TX
Practice address
2617 14TH St
Plano, TX 75074-6528
Phone
(214) 682-3601
Fax
(972) 423-0562
NPI assigned
Aug 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/Technologist 246X00000X 00052156 TX Primary

Addresses

Primary practice location

2617 14TH St
Plano, TX 75074-6528

Mailing address

2617 14TH St
Plano, TX 75074-6528
Phone (214) 682-3601

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
00052156TXMDCardiovascular Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1962695346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 14TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746528",
            "telephone_number": "214-682-3601",
            "fax_number": "972-423-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 14TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746528",
            "telephone_number": "214-682-3601",
            "fax_number": "972-423-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKEUKU",
        "first_name": "NNAMDI",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "TX",
            "license": "00052156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.