Somtochukwu Agunwah

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DGD.10410 Issued in SC

Practice address

371 Whitney Rd
Spartanburg, SC 29303-3143

Phone

(864) 479-8841

NPI assigned

Apr 4, 2017

Last updated

Mar 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: sagunwah2907458@carolinashealthcaresystem.direct-ci.com

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1962935221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 WHITNEY RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033143",
            "telephone_number": "864-479-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 WHITNEY RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033143",
            "telephone_number": "864-479-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUNWAH",
        "first_name": "SOMTOCHUKWU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401416739",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "12957",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "16704",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "DGD.10410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affordable Dentures & Implants - South Carolina, LLC
• Affordable Dentures & Implants - Spartanburg, P.C.
• Affordable Labs, LLC
• Katty Afshar, DO
• Muhammad Asad Aftab, MD
• Kareem Ahmed
• Raabia Ahmed, M.D.
• Roberta Jean Aiken, NP
• Katosha Lafaye Aitch-Jones
• Ajf Personal Home Care Specialists, LLC (FirstLight HomeCare of Spartanburg County)

• Pediatric Dentistry in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.