Organization Active NPI

Raghavendra Olety, DDS, Inc.

  • General Practice Dentistry
  • Lakewood, CA
National Provider Identifier
1174463988
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RAGHAVENDRA OLETY, DDS, INC.
Practice address
4180 Woodruff Ave
Lakewood, CA 90713-3144
Phone
(562) 938-9514
NPI assigned
Mar 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Authorized official

Name
Raghavendra Olety, DDSNPI 1477704104
Title
President
Phone
(405) 209-1143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4180 Woodruff Ave
Lakewood, CA 90713-3144

Mailing address

5400 Running Spring Way
Yorba Linda, CA 92887-6417
Phone (405) 209-1143

Other names 1

  • D & D Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4180 Woodruff Ave
Lakewood, CA 90713
Phone (562) 938-9514

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775952000000",
    "number": "1174463988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 RUNNING SPRING WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928876417",
            "telephone_number": "405-209-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 WOODRUFF AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907133144",
            "telephone_number": "562-938-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGHAVENDRA OLETY, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A",
        "authorized_official_last_name": "OLETY",
        "authorized_official_first_name": "RAGHAVENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-209-1143",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D & D Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; 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.