Individual provider Active NPI

Olugbenga A Akinsanya, DDS

  • General Practice Dentistry
  • Waterville, ME
National Provider Identifier
1154586006
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4077 Issued in ME
Practice address
185 Main St
Waterville, ME 04901-6625
Phone
(207) 415-1296
NPI assigned
Jul 21, 2008
Last updated
Jun 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4077 ME Primary
General Practice Dentistry 1223G0001X 9952 CT

Addresses

Primary practice location

185 Main St
Waterville, ME 04901-6625

Mailing address

185 Main St
Waterville, ME 04901-6625
Phone (207) 415-1296

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
4077MEMDGeneral Practice Dentistry
9952CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Dental Education Inc Current Accepting new patients

Locations

185 Main St
Waterville, ME 04901
Phone (207) 649-2298

Organizations & group practices 2

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1154586006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MAIN ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016625",
            "telephone_number": "207-415-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MAIN ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016625",
            "telephone_number": "207-415-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINSANYA",
        "first_name": "OLUGBENGA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4077",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.