DR. NKEMAKONAM H IKEKPEAZU MD Full NPI Record 1679680391
Surgery in West Haven, CT

Complete NPI Dataset

The following table represents the complete NPI 1679680391 dataset for Nkemakonam Ikekpeazu in 764 CAMPBELL AVE WEST HAVEN, CT 06516. The data table includes a list of all field names, values and definitions of the complete NPI record. The NPI dataset is available for download in CSV format using the "Download NPI" button below at the end of the table.

Name Value Definition
NPI1679680391The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code1Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Last Name Legal NameIKEKPEAZUThe last name of the provider. If the provider is an individual, this is the legal name.
Provider First NameNKEMAKONAMThe first name of the provider, if the provider is an individual.
Provider Middle NameHThe middle name of the provider, if the provider is an individual.
Provider Name Prefix TextDR.The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Credential TextMDThe abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address764 CAMPBELL AVE STE BThe first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City NameWEST HAVENThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameCTThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code065163786The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Business Mailing Address Country Code If outside U S USThe name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Business Mailing Address Telephone Number2039378778The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.


Provider Business Mailing Address Fax Number2039375712The city name in the mailing address of the provider being identified.
Provider First Line Business Practice Location Address764 CAMPBELL AVEThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Practice Location Address City NameWEST HAVENThe city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCTThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code065163786The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number2039378778The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2039375712The fax number associated with the location address of the provider being identified.
Provider Enumeration Date8/25/2006The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date2/17/2016The date that a record was last updated or changed.
Provider Gender CodeMThe code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1208600000XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1037057The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1CTThe code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1Y
Other Provider Identifier 1001370577Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 105Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1CT
Is Sole ProprietorYCode indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No