Individual provider Active NPI

Jumoke Oyedele, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1154575041
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32252 Issued in CA
Practice address
1206 N Capitol Ave
Suite 201
San Jose, CA 95132-2572
Phone
(408) 732-3264
Fax
(408) 732-3110
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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 32252 CA Primary

Addresses

Primary practice location

1206 N Capitol Ave
Suite 201
San Jose, CA 95132-2572

Mailing address

1206 N Capitol Ave
Suite 201
San Jose, CA 95132-2572
Phone (408) 732-3264

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
32252CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyvale Centre for Lazer 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1154575041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 N CAPITOL AVE",
            "address_2": "SUITE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322572",
            "telephone_number": "408-732-3264",
            "fax_number": "408-732-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N CAPITOL AVE",
            "address_2": "SUITE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322572",
            "telephone_number": "408-732-3264",
            "fax_number": "408-732-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEDELE",
        "first_name": "JUMOKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.