Individual provider Active NPI

Ricardo Ochinang, D.M.D.

  • General Practice Dentistry
  • San Angelo, TX
National Provider Identifier
1972699379
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24123 Issued in TX
Practice address
5769 Sherwood Way
Suite 140
San Angelo, TX 76901-5621
Phone
(325) 944-4111
Fax
(325) 944-2999
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5366 AL
General Practice Dentistry 1223G0001X 24123 TX Primary

Addresses

Primary practice location

5769 Sherwood Way
Suite 140
San Angelo, TX 76901-5621

Mailing address

5769 Sherwood Way
Suite 140
San Angelo, TX 76901-5621
Phone (325) 944-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622001104 TX Order and Referring Only - DentistPractitioner - Dentist 6103117189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24123TXMDCounseling Psychologist
5366ALMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1972699379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5769 SHERWOOD WAY",
            "address_2": "SUITE 140",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015621",
            "telephone_number": "325-944-4111",
            "fax_number": "325-944-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5769 SHERWOOD WAY",
            "address_2": "SUITE 140",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015621",
            "telephone_number": "325-944-4111",
            "fax_number": "325-944-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHINANG",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5366",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.