Individual provider Active NPI

Oyelola Omowunmi Atobajeun, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1295090389
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27988 Issued in TX
Practice address
5607 Uvalde Rd
Houston, TX 77049
Phone
(832) 243-6783
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27988TXMDGeneral Practice Dentistry

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27988 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

5607 Uvalde Rd
Houston, TX 77049

Mailing address

6727 FM 1463 Rd Ste 200
Katy, TX 77494-7933
Phone (281) 674-8555

Other names 1

NPPES NPI Registry
  • Dr. Lola Omowunmi Atobajeun Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2019.

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1295090389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 FM 1463 RD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947933",
            "telephone_number": "281-674-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 UVALDE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77049",
            "telephone_number": "832-243-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATOBAJEUN",
        "first_name": "OYELOLA",
        "middle_name": "OMOWUNMI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOLA",
            "last_name": "ATOBAJEUN",
            "middle_name": "OMOWUNMI",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.