Adedayo Kehinde Odeyale, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

SO3759 Issued in MD

Practice address

6192 Oxon Hill Rd
102
Oxon Hill, MD 20745-3114

Phone

(301) 839-1111

Fax

(301) 567-5490

NPI assigned

Oct 17, 2012

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

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1306199138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6192 OXON HILL RD",
            "address_2": "102",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6192 OXON HILL RD",
            "address_2": "102",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453114",
            "telephone_number": "301-839-1111",
            "fax_number": "301-567-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEYALE",
        "first_name": "ADEDAYO",
        "middle_name": "KEHINDE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-17",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "SO3759",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.