KENECHUKWU OBIDIGWE EZE DDS
NPI 1669648580
Dentist in Sac, CA

Active since April 30, 2008PECOS Enrolled
6030 S. LAND PARK DR., SAC, CA 95822(916) 500-5437(916) 244-7004 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2024, Nov 16, 2020 (2 updates tracked since 2020).

About Kenechukwu Obidigwe Eze Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENECHUKWU OBIDIGWE EZE DDS (NPI 1669648580) is an individual dentist in Sac, California, licensed in California (56954) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in El Paso.

NPPES Registry Identity

NPI1669648580
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKENECHUKWU OBIDIGWE EZECredential: DDS
Location Address6030 S. LAND PARK DR.Sac, CA 95822
Mailing Address6030 S. Land Park Dr.Sac, CA 95822 · (916) 500-5437 · Fax (916) 244-7004
Fax(916) 244-7004
Sole ProprietorNo
Enumeration DateApril 30, 2008
Last NPPES UpdateApril 10, 20242 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
NPI 1669648580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 56954
Definition

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 29400 (TX), 56954 (CA)
6030 S. LAND PARK DR., Sac, CA 95822

Secondary Practice Location 1

Location 15150 Montana AveEl Paso, TX 79903-4904 · Phone (915) 771-0886 · Fax (915) 779-2003

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenechukwu Obidigwe Eze Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenechukwu Eze's NPI number?

The NPI number for Kenechukwu Eze is 1669648580. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Kenechukwu Eze located?

Kenechukwu Eze practices at 6030 S. Land Park Dr., Sac, CA 95822. The listed phone number is (916) 500-5437.

What is Kenechukwu Eze's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kenechukwu Eze enrolled in Medicare?

Yes. Kenechukwu Eze is registered in the Medicare PECOS enrollment system.

What insurance does Kenechukwu Eze accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Kenechukwu Eze as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenechukwu Eze was last updated on April 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.