DR. EMMANUEL NNAJI OKONKWO (NPI# 1629295290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629295290 |
| Entity Type | Individual |
| Full Name | DR. EMMANUEL NNAJI OKONKWO |
| Credential | D.D.S. |
| Practice Address |
1704 W Manchester Ave Suite 208 Los Angeles CA 90047-3034 |
| Mailing Address |
Po Box 3777 Palos Verdes Peninsula CA 90274-9528 |
| Practice Telephone | 3239715025 |
| Practice Fax Number | 3237508399 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 29932 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL PROVIDER NO. | G9323001 | 01 |
| Street Address |
1704 W MANCHESTER AVE SUITE 208 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90047-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083643837 | Morningside Primary Care Medical Ctr, Inc | General Practice | 1704 W Manchester Ave, Suite 101, Los Angeles, CA 90047-3034 | 2006-07-02 |
| 1225662331 | Erika Hall | Case Manager/Care Coordinator | 1704 W Manchester Ave, Los Angeles, CA 90047-3063 | 2020-02-27 |
| 1083177372 | Jessica Bessette | Nurse Practitioner | 1704 W Manchester Ave, Los Angeles, CA 90047-3063 | 2019-04-12 |
| 1053707182 | Pacific Coast Medical Supply | Durable Medical Equipment & Medical Supplies | 1704 W Manchester Ave, Suite 105, Los Angeles, CA 90047-3063 | 2015-04-15 |
| 1245637362 | God's Property Sober Living Foundation | Substance Abuse Rehabilitation Facility | 1704 W Manchester Ave, Suite 210, Los Angeles, CA 90047-3063 | 2014-12-04 |
| 1851702286 | Morningside Specialty Hospital Inc. | Special Hospital | 1704 W Manchester Ave, Suite 206k, Los Angeles, CA 90047-3063 | 2014-05-20 |
| 1053722256 | Loving Touch Hospice Care, Inc. | Hospice Care, Community Based | 1704 W Manchester Ave, Suite 101-d, Los Angeles, CA 90047-3063 | 2014-05-11 |
| 1982023628 | Jahreese Barber | Counselor | 1704 W Manchester Ave, Suite 203, Los Angeles, CA 90047-3063 | 2014-04-09 |
| 1245655745 | Brighter Beginnings Drug and Alcohol Rehabilitation Facility | Community/Behavioral Health | 1704 W Manchester Ave, Los Angeles, CA 90047-3063 | 2014-02-20 |
| 1518236017 | Nueva Esperanza Healthcare Medical Clinic Inc. | Family Medicine | 1704 W Manchester Ave, Suite 109, Los Angeles, CA 90047-3063 | 2011-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071652 | Cherae Nikia Stovall | Counselor | 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047 | 2019-06-07 |
| 1598264053 | Dignity Health | Community/Behavioral Health | 1852 W Imperial Hwy, Los Angeles, CA 90047 | 2018-02-09 |
| 1750805222 | Brian George Martinez | Counselor | 1448 W 83rd St, Los Angeles, CA 90047 | 2017-07-27 |
| 1295266609 | Maria Amezcua | Rehabilitation Practitioner | 108 W Victoria Street, Gardena, CA 90047 | 2017-03-27 |
| 1265861140 | Ameika Porter | Counselor | 1529 West 82nd Street, Los Angeles, CA 90047 | 2013-11-01 |
| 1053747519 | Maria D Macias | Counselor | 11601 S. Western Avenue, Los Angeles, CA 90047 | 2013-09-16 |
| 1366704132 | Evelyn Carolina Hernandez | Family Medicine | 1555 West 110th Street, Los Angeles, CA 90047 | 2012-06-08 |
| 1003057142 | Sandra Patricia Trim | Licensed Vocational Nurse | 2048 W 69 St, Los Angeles, CA 90047 | 2009-03-19 |
| 1194962001 | Estuardo Ardon | Counselor | 11603 S. Western Ave., Los Angeles, CA 90047 | 2009-01-14 |
| 1174788400 | Frenda Brigette Williams | Dentist | 2015 W 81st St, Los Angeles, CA 90047 | 2008-07-25 |
| Find all providers in zip 90047 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1134729601 | Enas Tayyem | Dentist | 2100 N Beachwood Dr Apt 303, Los Angeles, CA 90068-3442 | 2020-10-26 |
| 1639776073 | Stephanie Jeanne Bauman | Dentist | 3060 W Olympic Blvd Apt 438, Los Angeles, CA 90006-3838 | 2020-10-08 |
| 1316544570 | Azzah Widatalla | Dentist | 5455 Wilshire Blvd Ste 850, Los Angeles, CA 90036-4234 | 2020-10-01 |
| 1104433796 | Irena Starchenko | Dentist | 2007 Wilshire Blvd Ste 525, Los Angeles, CA 90057-3518 | 2020-09-28 |
| 1134734353 | Mark Park | Dentist | 404 Shatto Pl Apt 443, Los Angeles, CA 90020-1739 | 2020-09-14 |
| 1740895150 | Chantelle Aabedi | Dentist | 2711 Casiano Rd, Los Angeles, CA 90077-9007 | 2020-09-11 |
| 1801401542 | Yojeong Cho | Dentist | 621 S Western Ave Ste 201, Los Angeles, CA 90005-3042 | 2020-09-10 |
| 1518572247 | William Hwang | Dentist | 2727 W Olympic Blvd Ste 311, Los Angeles, CA 90006-2699 | 2020-09-10 |
| 1912511056 | Shervin Moshashaei | Dentist | 1420 Peerless Pl Apt 212, Los Angeles, CA 90035-2869 | 2020-09-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90047 |
Please comment or provide details below to improve the information on DR. EMMANUEL NNAJI OKONKWO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.