Organization Active NPI

Olufunmilola Akinyemi, DMD, PLLC

Doing business as Vibrant Dentistry

  • Dental Clinic/Center
  • Matthews, NC
National Provider Identifier
1023791407
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OLUFUNMILOLA AKINYEMI, DMD, PLLC
Doing business as
Vibrant Dentistry
Practice address
9609 E Independence Blvd Ste V
Matthews, NC 28105-4670
Phone
(704) 771-1544
Fax
(704) 771-1333
NPI assigned
Aug 10, 2023
Last updated
Aug 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Dr. Olufunmilola Akinyemi, DMDNPI 1306331707
Title
Managing Member
Phone
(859) 684-4740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

9609 E Independence Blvd Ste V
Matthews, NC 28105-4670

Mailing address

2013 Blue Range Rd
Indian Trail, NC 28079-8487
Phone (859) 684-4740

Other names 1

  • Vibrant Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9609 E Independence Blvd
Ste V
Matthews, NC 28105
Phone (704) 321-5965

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1023791407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 BLUE RANGE RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798487",
            "telephone_number": "859-684-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9609 E INDEPENDENCE BLVD STE V",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054670",
            "telephone_number": "704-771-1544",
            "fax_number": "704-771-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUFUNMILOLA AKINYEMI, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "AKINYEMI",
        "authorized_official_first_name": "OLUFUNMILOLA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "859-684-4740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.