NPIMap

Organization Active NPI

Oasis Kids Dental, LLC

  • Pediatric Dentistry
  • Glen Burnie, MD
National Provider Identifier
1053901884
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
OASIS KIDS DENTAL, LLC
Practice address
7708 Ritchie Hwy
Glen Burnie, MD 21061-4362
Phone
(443) 557-3311
Fax
(443) 557-3315
NPI assigned
Jan 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Dr. Oluwayemisi Titilayo Akinrefon, DDSNPI 1659638237
Title
Owner
Phone
(410) 929-4791

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

7708 Ritchie Hwy
Glen Burnie, MD 21061-4362

Mailing address

6655 Santa Barbara Rd Unit 8771
Elkridge, MD 21075-7531
Phone (410) 929-4791

National Provider Directory

National Provider Directory

Locations

6655 Santa Barbara Rd
Unit 8771
Elkridge, MD 21075

7708 Ritchie Hwy
Glen Burnie, MD 21061
Phone (443) 557-3311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1053901884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 SANTA BARBARA RD UNIT 8771",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757531",
            "telephone_number": "410-929-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7708 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614362",
            "telephone_number": "443-557-3311",
            "fax_number": "443-557-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS KIDS DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "AKINREFON",
        "authorized_official_first_name": "OLUWAYEMISI",
        "authorized_official_middle_name": "TITILAYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-929-4791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.