Yewande O. Oye-Somefun, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10024 Issued in TN

Practice address

440 Sam Ridley Pkwy W
Smyrna, TN 37167-2998

Phone

(615) 930-9606

NPI assigned

Apr 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Yewande O. Oye-Somefun Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Somefun and Associates LLC

  dba Carrollton Smiles

  • Dentist
  • Carrollton, VA
  • NPI 1669155529
  NPD Authorized official
• Smyrna Modern Dentistry, PC

  dba Smyrna Modern Dentistry

  • Dentist
  • Smyrna, TN
  • NPI 1669840211
  NPD (past)

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

{
    "created_epoch": "1398556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452902400000",
    "number": "1548680762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MOVIE ROW",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676532",
            "telephone_number": "615-930-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SAM RIDLEY PKWY W",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371672998",
            "telephone_number": "615-930-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYE-SOMEFUN",
        "first_name": "YEWANDE",
        "middle_name": "O.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-27",
        "last_updated": "2016-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEWANDE",
            "last_name": "OYE-SOMEFUN",
            "middle_name": "O.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Efe K Owen
• Sara Elizabeth Owen, MD
• Stephen Owen, MD
• Crystal Renee' Owens
• Elizabeth Owens, DDS
• Helen Pace
• Frank Thomas Padberg III
• Jessica Page
• Ethelyn Jean Pak
• Shelly Rae Paladino, OTRL

• General Practice Dentistry in Smyrna, TN
• Providers in Smyrna, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2016; 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.