Organization Active NPI

Oyegunwa & Associates V, PLLC

  • Dentist
  • Raleigh, NC
National Provider Identifier
1144937699
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OYEGUNWA & ASSOCIATES V, PLLC
Practice address
5321 Tin Roof Way Ste 102
Raleigh, NC 27616-6736
Phone
(888) 617-5492
NPI assigned
Nov 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Crystal Matthews
Title
General Manager
Phone
(910) 988-3841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5321 Tin Roof Way Ste 102
Raleigh, NC 27616-6736

Mailing address

PO Box 53556
Fayetteville, NC 28305-3556

Other names 1

  • O2 Dental Group of Raleigh Doing business as

National Provider Directory

National Provider Directory

Locations

5321 Tin Roof Way
Ste 102
Raleigh, NC 27616
Phone (888) 617-5492

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1144937699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53556",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283053556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 TIN ROOF WAY STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166736",
            "telephone_number": "888-617-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OYEGUNWA & ASSOCIATES V, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "910-988-3841"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O2 Dental Group of Raleigh",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "O2 Dental Group of Raleigh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.