Individual provider Active NPI

Oluwatoni O Ogundare, CCC-SLP

  • Speech-Language Pathologist
  • Denver, CO
National Provider Identifier
1164158465
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
550 E 19TH Ave Unit 2512
Denver, CO 80203-1339
Phone
(630) 986-7669
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X CO Primary

Addresses

Primary practice location

550 E 19TH Ave Unit 2512
Denver, CO 80203-1339

Mailing address

550 E 19TH Ave Unit 2512
Denver, CO 80203-1339
Phone (630) 986-7669

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

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1164158465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 19TH AVE UNIT 2512",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031339",
            "telephone_number": "630-986-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E 19TH AVE UNIT 2512",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031339",
            "telephone_number": "630-986-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDARE",
        "first_name": "OLUWATONI",
        "middle_name": "O",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.