Oluyemisi Laditan, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25920 Issued in TX

Practice address

308 S Cesar Chavez Ave
Crystal City, TX 78839-4200

Phone

(830) 374-2301

Fax

(830) 374-9368

NPI assigned

Jul 2, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EAGECD/Endpoint/EAGECD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ana Maria T Collantes, DDS Inc

  dba American Bright Dental

  • General Practice Dentistry
  • Lancaster, CA
  • NPI 1295092278
  NPD (past)
• Oluyemisi Laditan

  • General Practice Dentistry
  • Lancaster, CA
  • NPI 1144215401
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023215159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S CESAR CHAVEZ AVE",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788394200",
            "telephone_number": "830-374-2301",
            "fax_number": "830-374-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S CESAR CHAVEZ AVE",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788394200",
            "telephone_number": "830-374-2301",
            "fax_number": "830-374-9368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44810 Elm Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935343106",
            "country_code": "US",
            "telephone_number": "661-945-2645",
            "fax_number": "661-723-7718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADITAN",
        "first_name": "OLUYEMISI",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25920",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa C Guzman, LCDC
• Marivel M Hinojosa, LCDC
• Karen L Richardson Physical Therapist PLLC (Karen L Richardson Physical Therapy)
• Shirley Koehler, PA-C
• La Paloma Day Health Services Corp (La Paloma Adult Day Care #1)
• Las Sendas Rural Health Centers, Inc.
• Linda Lomas
• Lopez Health Systems, Inc
• Ruben Lopez
• Lorenzo Ortiz Dba Wintergarden Counseling Services

• General Practice Dentistry in Crystal City, TX
• Providers in Crystal City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.