Joseph Olufemi Fagbamigbe

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107514 Issued in CA

Practice address

705 East St
Corning, CA 96021-2252

Phone

(530) 900-7550

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Feather River Tribal Health Inc

  • Federally Qualified Health Center (FQHC)
  • Oroville, CA
  • NPI 1629130240
  Medicare reassignment NPD

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1144950718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 TOOMES AVE",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960212718",
            "telephone_number": "312-889-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 EAST ST",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960212252",
            "telephone_number": "530-900-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGBAMIGBE",
        "first_name": "JOSEPH",
        "middle_name": "OLUFEMI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J Eissinger, D.C.
• Sofia B Elahi, M.D.
• Elijah House Foundation
• Ali Emdadian
• David Ferris Essi IV, PHARMD
• Deborah Jean Fiedler
• Ashley Christine Heitland
• Jazmin Herrera-Placido
• Jeffrey Ryan Howell, M.P.T., A.T.C.
• Felix U Ihekwoeme, PHARMD

• General Practice Dentistry in Corning, CA
• Providers in Corning, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.