NPIMap

Organization Active NPI

Bukola Oduyelu, DDS, PC

  • Pediatric Dentistry
  • Virginia Beach, VA
National Provider Identifier
1467629048
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401008828 Issued in VA
Legal business name
BUKOLA ODUYELU, DDS, PC
Practice address
2264 London Bridge Rd
Virginia Beach, VA 23456-3903
Phone
(757) 563-2670
Fax
(757) 563-2851
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Dr. Bukola Oduyelu, DDS
Title
President
Phone
(757) 563-2670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 0401008828 VA Primary

Addresses

Primary practice location

2264 London Bridge Rd
Virginia Beach, VA 23456-3903

Mailing address

2264 London Bridge Rd
Virginia Beach, VA 23456-3903
Phone (757) 563-2670

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1467629048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2264 LONDON BRIDGE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563903",
            "telephone_number": "757-563-2670",
            "fax_number": "757-563-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2264 LONDON BRIDGE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563903",
            "telephone_number": "757-563-2670",
            "fax_number": "757-563-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUKOLA ODUYELU, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "ODUYELU",
        "authorized_official_first_name": "BUKOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-563-2670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401008828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.