Individual provider

Hyacinth Ezeani, DDS

General Practice Dentistry Dentist Medicare enrolled

Hyacinth Ezeani, DDS is a provider specialising in General Practice Dentistry in Carson, CA, registered under NPI 1104016765. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 20763 AVALON BLVD, Carson, CA 90746. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

20763 AVALON BLVD, Carson, CA 90746 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
39398 CA General Practice Dentistry primary
39398 CA Dentist

This provider holds licence 39398 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Dentist
PAC ID
9436555380

Medicare enrolment is recorded as approved under the provider type Practitioner - Dentist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What General Practice covers

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NUCC Health Care Provider Taxonomy, code 1223G0001X
Dental Providers Dentist General Practice

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223G0001X General Practice Dentistry General Practice 39398 CA primary
122300000X Dentist 39398 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104016765 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 30, 2007
Last updatedApr 8, 2015
StatusActive
Sole proprietorNo
CredentialDDS
Practice address 20763 AVALON BLVD
Carson, CA 90746
(310) 719-1865
Mailing address 600 W MANCHESTER AVE STE 2
Los Angeles, CA 90044
This record was last updated on Apr 8, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104016765 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 0 1 6 7 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 0 1 3 7 3

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104016765?
NPI 1104016765 is the National Provider Identifier assigned to Hyacinth Ezeani, DDS in Carson, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice cover?
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
How do I contact Hyacinth Ezeani, DDS?
The phone number on file with NPPES is (310) 719-1865, last updated Apr 8, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Hyacinth Ezeani, DDS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104016765 a valid number?
Yes. 1104016765 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.