Active NPI
Kehinde Kemi Osunsan, D.D.S.
- Dentist
- Greenville, NC
National Provider Identifier
1154720910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 151027
- Practice address
- 1851 Macgregor Downs Rd
Mail Stop 701
Greenville, NC 27834-5925 - Phone
- (252) 737-7000
- NPI assigned
- Aug 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 151027 | NC | Primary |
Addresses
Primary practice location
1851 Macgregor Downs Rd
Mail Stop 701
Greenville, NC 27834-5925
Mailing address
1851 Macgregor Downs Rd
Mail Stop 701
Greenville, NC 27834-5925
Phone (252) 737-7000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 151027 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408320000000",
"number": "1154720910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 MACGREGOR DOWNS RD",
"address_2": "MAIL STOP 701",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345925",
"telephone_number": "252-737-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 MACGREGOR DOWNS RD",
"address_2": "MAIL STOP 701",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345925",
"telephone_number": "252-737-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSUNSAN",
"first_name": "KEHINDE",
"middle_name": "KEMI",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-18",
"last_updated": "2014-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "151027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.