Active NPI
Olubiyi Ogunjimi, DDS, MPH
- Dentist
- North Andover, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1856319
- Practice address
- 350 Winthrop Ave
North Andover, MA 01845-4289 - Phone
- (978) 794-0040
- NPI assigned
- Jul 13, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1856319 | MA | Primary |
Addresses
Primary practice location
350 Winthrop Ave
North Andover, MA 01845-4289
Mailing address
111 Middlesex Tpke # 1097
Burlington, MA 01803-4905
Phone (617) 690-8140
Other practice location 1
14 Loon Hill Rd
Dracut, MA 01826-4015
Phone (978) 955-9005
Other practice location 2
50 Staniford St Ste 804
Boston, MA 02114-2537
Phone (617) 581-0689
Other practice location 3
377 Main St
Watertown, MA 02472-2360
Phone (617) 923-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20160523000574 | MA | Order and Referring Only - Dentist | 4284923798 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1856319 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Dental Oral Health Center of Massachusetts, PC | Past | Accepting new patients | |
| Ogunjimi Dental Holdings PLLC | Past | Accepting new patients | |
| DRS Athanasoulas & Pappey Associates in Dentistry Ihc | Past | Accepting new patients | |
| Frisco Custer Star Dental Group, PC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Wilmington, MA
- NPI 1043131857
-
dba Advantage Dental Oral Health Center
- General Practice Dentistry
- Westborough, MA
- NPI 1285284604
-
- General Practice Dentistry
- Lowell, MA
- NPI 1194875385
-
dba Custer Star Dental Group
- General Practice Dentistry
- Frisco, TX
- NPI 1245532688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1245469121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MIDDLESEX TPKE # 1097",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034905",
"telephone_number": "617-690-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 WINTHROP AVE",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018454289",
"telephone_number": "978-794-0040"
}
],
"practiceLocations": [
{
"address_1": "14 Loon Hill Rd",
"address_purpose": "LOCATION",
"city": "Dracut",
"state": "MA",
"postal_code": "018264015",
"country_code": "US",
"telephone_number": "978-955-9005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 Staniford St Ste 804",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142537",
"country_code": "US",
"telephone_number": "617-581-0689",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "377 Main St",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "MA",
"postal_code": "024722360",
"country_code": "US",
"telephone_number": "617-923-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGUNJIMI",
"first_name": "OLUBIYI",
"credential": "DDS, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-13",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1856319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.