Adetunji Alabi Sijuwade, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61552 Issued in KS

Practice address

15281 W 119TH St
Olathe, KS 66062-5290

Phone

(913) 353-2259

NPI assigned

Aug 17, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Olathe Dental Group, PA

  • General Practice Dentistry
  • Olathe, KS
  • NPI 1891153557
  NPD (past)

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1245756675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 GRAND BLVD APT 1604",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062968",
            "telephone_number": "213-222-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15281 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625290",
            "telephone_number": "913-353-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIJUWADE",
        "first_name": "ADETUNJI",
        "middle_name": "ALABI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6815",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Shulfer, PT
• Esther Shull, APRN, FNP-BC
• Lillian Siebert, LPC-T
• Mark S. Siegmund, LPC, LCPC
• Signature Medical Group of KC, PA
• Michael Silva
• Carol A Silvernail
• Nichole C Simmons, PLPC
• Susan Diane Simmons, ARNP, PHD
• Deborah D. Simon, LCPC

• General Practice Dentistry in Olathe, KS
• Providers in Olathe, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.