Active NPI
Eyitemi Elete
- Dentist
- Waco, TX
National Provider Identifier
1023799558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41409
- Practice address
- 2320 W Loop 340 Ste 200B
Waco, TX 76711-2454 - Phone
- (254) 230-9597
- NPI assigned
- Jul 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.035381 | IL | |
| Dentist | 122300000X | DN123199 | GA | |
| Dentist | 122300000X | 41409 | TX | Primary |
Addresses
Primary practice location
2320 W Loop 340 Ste 200B
Waco, TX 76711-2454
Mailing address
2320 W Loop 340 Ste 200B
Waco, TX 76711-2454
Phone (213) 905-5600
Other practice location 1
3456 Wrightsboro Rd
Augusta, GA 30909-2678
Phone (706) 251-7917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123199 | GA | MD | Dentist |
| 019.035381 | IL | MD | Dentist |
| 41409 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dan Alineum Dental-Waco PLLC | Current | Accepting new patients |
Locations
2320 W Loop 340
Ste 200B
Waco, TX 76711
Phone (254) 230-9597
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Waco, TX
- NPI 1295306843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1023799558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 W LOOP 340 STE 200B",
"city": "WACO",
"state": "TX",
"postal_code": "767112454",
"telephone_number": "213-905-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 W LOOP 340 STE 200B",
"city": "WACO",
"state": "TX",
"postal_code": "767112454",
"telephone_number": "254-230-9597"
}
],
"practiceLocations": [
{
"address_1": "3456 Wrightsboro Rd",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309092678",
"country_code": "US",
"telephone_number": "706-251-7917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELETE",
"first_name": "EYITEMI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-27",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.035381",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123199",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "41409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.