Active NPI
Oluwemimo A Fagbemi, DDS
- Pediatric Dentistry
- New Orleans, LA
National Provider Identifier
1144966391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 7587
- Practice address
- 3502 S Carrollton Ave
New Orleans, LA 70118-4571 - Phone
- (504) 410-3051
- NPI assigned
- May 10, 2022
- Last updated
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 7587 | LA | Primary |
Addresses
Primary practice location
3502 S Carrollton Ave
New Orleans, LA 70118-4571
Mailing address
3502 S Carrollton Ave
New Orleans, LA 70118-4571
Phone (504) 410-3051
Other practice location 1
2526 Williams Blvd
Kenner, LA 70062-5538
Phone (504) 904-0144
Other practice location 2
5151 Plank Rd Ste 28
Baton Rouge, LA 70805-3501
Phone (225) 330-6622
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadia Health, LLC | General Practice | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1144966391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 S CARROLLTON AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701184571",
"telephone_number": "504-410-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 S CARROLLTON AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701184571",
"telephone_number": "504-410-3051"
}
],
"practiceLocations": [
{
"address_1": "2526 Williams Blvd",
"address_purpose": "LOCATION",
"city": "Kenner",
"state": "LA",
"postal_code": "700625538",
"country_code": "US",
"telephone_number": "504-904-0144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5151 Plank Rd Ste 28",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708053501",
"country_code": "US",
"telephone_number": "225-330-6622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAGBEMI",
"first_name": "OLUWEMIMO",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-10",
"last_updated": "2024-07-26",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "LA",
"license": "7587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.