Active NPI
Adeoluwatimilehin Olufeko, DDS
- Dentist
- Omaha, NE
National Provider Identifier
1447509286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014473
- Practice address
- 2109 Cuming St
Omaha, NE 68102-4325 - Phone
- (000) 000-0005
- NPI assigned
- Sep 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN014473 | GA | Primary |
Addresses
Primary practice location
2109 Cuming St
Omaha, NE 68102-4325
Mailing address
845 Scenic Hwy
Lawrenceville, GA 30046-7101
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1447509286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 SCENIC HWY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 CUMING ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681024325",
"telephone_number": "000-000-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUFEKO",
"first_name": "ADEOLUWATIMILEHIN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.