Okeysolom Kenneth Oradiegwu Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2026033944 Issued in MO

Practice address

1816 S Range Line Rd Ste D
Joplin, MO 64804-3277

Phone

(417) 572-0002

NPI assigned

Jun 23, 2021

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

Other names 1

• Dr. Keso Kenneth Oradiegwu Jr. Other name

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1477122539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SE H ST APT 201",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727122712",
            "telephone_number": "281-745-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 S RANGE LINE RD STE D",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043277",
            "telephone_number": "417-572-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORADIEGWU",
        "first_name": "OKEYSOLOM",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37266",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2026033944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KESO",
            "last_name": "ORADIEGWU",
            "middle_name": "KENNETH",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacia M Olson
• Oncology and Hematology Center, P.C.
• Nancy Ann Onyon, PHARMD
• Dana Marie Opfer, AU.D., CCC-A
• Options Outpaitent Counseling Service
• James E. Orear, D.O.
• James Orlando III, M.D.
• Justin Lynn Orren, DO
• Ma. Estela Lopez Ortaleza, PT
• Abbie Marie Osborn, ARNP

• General Practice Dentistry in Joplin, MO
• Providers in Joplin, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.