Active NPI
Akintunde Olaniyi Ojo, DDS
- General Practice Dentistry
- Converse, TX
National Provider Identifier
1215464557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33069
- Practice address
- 9160 FM 78 Ste 1B
Converse, TX 78109-2040 - Phone
- (210) 672-4610
- NPI assigned
- May 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 33069 | TX | Primary |
Addresses
Primary practice location
9160 FM 78 Ste 1B
Converse, TX 78109-2040
Mailing address
6974 Oak Dr Apt 6101
San Antonio, TX 78256-4425
Phone (773) 414-2307
Other practice location 1
1011 N University Ave
Ann Arbor, MI 48109-1078
Phone (734) 763-6933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200629003153 | TX | Practitioner - Dentist | 7012339526 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1215464557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6974 OAK DR APT 6101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782564425",
"telephone_number": "773-414-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9160 FM 78 STE 1B",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781092040",
"telephone_number": "210-672-4610"
}
],
"practiceLocations": [
{
"address_1": "1011 N University Ave",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481091078",
"country_code": "US",
"telephone_number": "734-763-6933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OJO",
"first_name": "AKINTUNDE",
"middle_name": "OLANIYI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Converse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.