Organization Active NPI

Kehinde Osunsan, DDS, P.C.

  • General Practice Dentistry
  • Montgomery Village, MD
National Provider Identifier
1245976737
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KEHINDE OSUNSAN, DDS, P.C.
Practice address
18306 Contour Rd
Montgomery Village, MD 20877-2614
Phone
(240) 658-6781
NPI assigned
May 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Kehinde Osunsan, DDS
Title
Owner
Phone
(240) 658-6781

Specialties & licenses 1

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

Addresses

Primary practice location

18306 Contour Rd
Montgomery Village, MD 20877-2614

Mailing address

18306 Contour Rd
Montgomery Village, MD 20877-2614
Phone (240) 658-6781

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1245976737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18306 CONTOUR RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208772614",
            "telephone_number": "240-658-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18306 CONTOUR RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208772614",
            "telephone_number": "240-658-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEHINDE OSUNSAN, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "OSUNSAN",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-658-6781",
        "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": []
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.