NPIMap

Organization Active NPI

Destiny Empowerment Center Inc

  • Primary Care Clinic/Center
  • Randolph, MA
National Provider Identifier
1164143855
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DESTINY EMPOWERMENT CENTER INC
Practice address
999 N Main St Ste 2
Randolph, MA 02368-3072
Phone
(617) 984-5380
NPI assigned
Sep 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Anthony Oyebode Olatunji, DMD
Title
Dentist
Phone
(781) 774-9885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

999 N Main St Ste 2
Randolph, MA 02368-3072

Mailing address

999 N Main St Ste 2
Randolph, MA 02368-3072
Phone (617) 984-5380

National Provider Directory

National Provider Directory
Tax ID family
Destiny Empowerment Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

999 N Main St
Ste 2
Randolph, MA 02368
Phone (617) 984-5380

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1164143855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST STE 2",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683072",
            "telephone_number": "617-984-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST STE 2",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683072",
            "telephone_number": "617-984-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY EMPOWERMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "OLATUNJI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "OYEBODE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-774-9885",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.