Active NPI
Oluwaseun P Banjo-Awopegba, DMD
- Dentist
- Silver Spring, MD
National Provider Identifier
1598498784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17837
- Practice address
- 344 University Blvd W
Silver Spring, MD 20901-1948 - Phone
- (844) 796-2797
- NPI assigned
- Jul 5, 2022
- Last updated
- Jul 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN2000185 | DC | |
| Dentist | 122300000X | 17837 | MD | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
344 University Blvd W
Silver Spring, MD 20901-1948
Mailing address
529 E 38TH Street
Baltimore, MD 21218-1930
Phone (443) 562-3252
Other practice location 1
6428 Georgia Ave NW
Washington, DC 20012-2910
Phone (202) 723-0303
Other names 1
- Dr. Oluwaseun Perosola Banjo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17837 | MD | MD | Clinical Social Worker |
| DEN2000185 | DC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1598498784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 E 38TH STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212181930",
"telephone_number": "443-562-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 UNIVERSITY BLVD W",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011948",
"telephone_number": "844-796-2797"
}
],
"practiceLocations": [
{
"address_1": "6428 Georgia Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200122910",
"country_code": "US",
"telephone_number": "202-723-0303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANJO-AWOPEGBA",
"first_name": "OLUWASEUN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN2000185",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "17837",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLUWASEUN",
"last_name": "BANJO",
"middle_name": "PEROSOLA",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.