Individual provider Active NPI

Josephine Olunike Oguntimein, D.D,S.

  • Dentist
  • Washington, DC
National Provider Identifier
1043379951
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5407 Issued in DC
Practice address
4820 13TH St NW
Washington, DC 20011-4410
Phone
(202) 829-3100
Fax
(202) 829-3130
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 5407 DC
Dentist 122300000X 5407 DC Primary

Addresses

Primary practice location

4820 13TH St NW
Washington, DC 20011-4410

Mailing address

4820 13TH St NW
Washington, DC 20011-4410
Phone (202) 829-3100

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

LicenseStateTypeSpecialty
5407DCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Josephine Oguntimein Dental Office, PC Current Accepting new patients

Locations

4820 13th St NW
Washington, DC 20011
Phone (202) 829-3100

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1043379951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114410",
            "telephone_number": "202-829-3100",
            "fax_number": "202-829-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114410",
            "telephone_number": "202-829-3100",
            "fax_number": "202-829-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNTIMEIN",
        "first_name": "JOSEPHINE",
        "middle_name": "OLUNIKE",
        "name_prefix": "Dr.",
        "credential": "D.D,S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "5407",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "5407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.