Individual provider Active NPI

Olusegun I Olaopa, DMD

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1063342293
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2026021507 Issued in MO
Practice address
319 NE Vivion Rd # Mo64118
Kansas City, MO 64118-4510
Phone
(816) 853-5127
NPI assigned
May 20, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2026021507 MO Primary

Addresses

Primary practice location

319 NE Vivion Rd # Mo64118
Kansas City, MO 64118-4510

Mailing address

319 NE Vivion Rd # Mo64118
Kansas City, MO 64118-4510
Phone (816) 853-5127

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
2026021507MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1063342293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 NE VIVION RD # MO64118",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184510",
            "telephone_number": "816-853-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 NE VIVION RD # MO64118",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184510",
            "telephone_number": "816-853-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAOPA",
        "first_name": "OLUSEGUN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2026021507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.