Olalekan Idowu Okunuga, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57322 Issued in CA

Practice address

2735 N Blackstone Ave
Fresno, CA 93703-1705

Phone

(559) 225-3391

Fax

(559) 225-1601

NPI assigned

Sep 4, 2008

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1497903280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031705",
            "telephone_number": "559-225-3391",
            "fax_number": "559-225-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031705",
            "telephone_number": "559-225-3391",
            "fax_number": "559-225-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNUGA",
        "first_name": "OLALEKAN",
        "middle_name": "IDOWU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Okm Logistics Inc
• Emenike Okolo, PHARMACY INTERN
• Christina Ngozi Okonkwo
• Chetanna Okpaleke Amazu, MD
• Eugina O Okpara
• Halimot-Sadia Okusi
• Bernard Okwelogu, PHARM D
• Oliver Kampitan Olaivar, NP
• Olubukunola Olalemi-Toth, DPM
• Francisca Ezegalu Olalemi, N.P

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.