Oluwakayode Adebola Olowoyo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12656 Issued in MN

Practice address

606 24TH Ave S
Suit 202
Minneapolis, MN 55454-1455

Phone

(612) 659-8689

Fax

(612) 659-8690

NPI assigned

Jan 4, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1437489085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WABASHA ST. S",
            "address_2": "SUIT 202",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551071805",
            "telephone_number": "651-293-8300",
            "fax_number": "651-293-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 24TH AVE S",
            "address_2": "SUIT 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541455",
            "telephone_number": "612-659-8689",
            "fax_number": "612-659-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOWOYO",
        "first_name": "OLUWAKAYODE",
        "middle_name": "ADEBOLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene W. Ollila, MD
• Bjorn A Olmanson, MD
• Rhonda K Olmsted, APRN
• Saadia Olow
• Praise Olowokere
• Amanda Elizabeth Olsen, APRN, NNP-BC
• Amanda M Olsen
• Caryn Marie Olsen, LICSW
• Christopher Olsen, DPM
• Christopher Alan Olsen

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.