Viviana Angelina Ojeda

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11154 Issued in SC

Practice address

9608 SC-707
Myrtle Beach, SC 29588

Phone

(843) 808-6025

NPI assigned

Nov 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Professionals of South Carolina, P.C.

  • General Practice Dentistry
  • Myrtle Beach, SC
  • NPI 1700637600

  General Practice

  NPD

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1528536745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 SC-707",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "203-446-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 SC-707",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-808-6025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Boston Ave",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066101662",
            "country_code": "US",
            "telephone_number": "203-873-0598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Church St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064922253",
            "country_code": "US",
            "telephone_number": "203-626-5581",
            "fax_number": "203-200-7953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 Columbus Avenue",
            "address_2": "Columbus Dental",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191233",
            "country_code": "US",
            "telephone_number": "203-503-3040",
            "fax_number": "203-503-3187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Summer St",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069055132",
            "country_code": "US",
            "telephone_number": "203-883-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OJEDA",
        "first_name": "VIVIANA",
        "middle_name": "ANGELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "12308",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "11154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235893",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jalen Michelle Odle, COTA/L
• Edith Hollie Odom
• Adedapo M Oduwole, MD
• Teanne Oehler, LISW
• Mary Oglesbee
• Beatriz Ojito
• Megan Elizabeth Okelley, NP
• Oleander Family and Cosmetic Dentistry, LLC
• Leslie Oleszkowicz, FNP-C
• Katie Olini, MS, ATC

• All providers in Myrtle Beach, SC
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.