Individual provider Active NPI

Afolabi Olufolahan Ogunleye, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Papillion, NE
National Provider Identifier
1649281700
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6642 Issued in NE
Practice address
546 S Washington St
Papillion, NE 68046-2632
Phone
(402) 280-5976
Fax
(402) 280-5005
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6642 NE Primary

Addresses

Primary practice location

546 S Washington St
Papillion, NE 68046-2632

Mailing address

16405 Mason St
Omaha, NE 68118-2729
Phone (402) 708-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070416000087 NE Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 5294830576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6642NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Creighton University Past Accepting new patients
Kennedy Dental Associates, P.C. Oral and Maxillofacial Surgery Past Accepting new patients
Creighton University Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1649281700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16405 MASON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182729",
            "telephone_number": "402-708-6222",
            "fax_number": "402-916-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 S WASHINGTON ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462632",
            "telephone_number": "402-280-5976",
            "fax_number": "402-280-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNLEYE",
        "first_name": "AFOLABI",
        "middle_name": "OLUFOLAHAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NE",
            "license": "6642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.