Blessing Anu-Oluwapo I-Salami, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12014276A Issued in IN

Practice address

The Dental Center Mishawaka
112 Ironworks Ave B1
Mishawaka, IN 46544-2058

Phone

(574) 255-4964

Fax

(574) 254-0012

NPI assigned

May 12, 2023

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

Medicare fee-for-service enrollment

Enrolled in OH

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

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1548950462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE DENTAL CENTER MISHAWAKA",
            "address_2": "112 IRONWORKS AVE B1",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442058",
            "telephone_number": "574-255-4964",
            "fax_number": "574-254-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE DENTAL CENTER MISHAWAKA",
            "address_2": "112 IRONWORKS AVE B1",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442058",
            "telephone_number": "574-255-4964",
            "fax_number": "574-254-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Wadas Dental Center Crown Point",
            "address_2": "11055 Broadway, Ste E",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "46307",
            "country_code": "US",
            "telephone_number": "219-488-2610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Wadas Dental Center of Munster",
            "address_2": "417 E Ridge Road, Ste A",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "46321",
            "country_code": "US",
            "telephone_number": "219-836-9841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "I-SALAMI",
        "first_name": "BLESSING",
        "middle_name": "ANU-OLUWAPO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014276A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.