Individual provider Active NPI

Morolayo Oluyemi, DMD

  • Dentist
  • Joliet, IL
National Provider Identifier
1295255487
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019031102 Issued in IL
Practice address
3587 Hennepin Dr Ste D
Joliet, IL 60431-9205
Phone
(815) 782-6243
Fax
(815) 782-8290
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019031102 IL Primary

Addresses

Primary practice location

3587 Hennepin Dr Ste D
Joliet, IL 60431-9205

Mailing address

3587 Hennepin Dr Ste D
Joliet, IL 60431-9205
Phone (815) 782-6243

Other practice location 1

2316 W Madison St
Chicago, IL 60612-2228
Phone (312) 491-0601

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
019031102ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ash Dental PC Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1295255487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 HENNEPIN DR STE D",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319205",
            "telephone_number": "815-782-6243",
            "fax_number": "815-782-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3587 HENNEPIN DR STE D",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319205",
            "telephone_number": "815-782-6243",
            "fax_number": "815-782-8290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2316 W Madison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606122228",
            "country_code": "US",
            "telephone_number": "312-491-0601",
            "fax_number": "312-491-0602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUYEMI",
        "first_name": "MOROLAYO",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.