Active NPI
Francis O Badejoko, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Virginia Beach, VA
National Provider Identifier
1649545211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0401417359
- Practice address
- 4239 Holland Rd Ste 762a
Virginia Beach, VA 23452-1943 - Phone
- (467) 566-5757
- NPI assigned
- Mar 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | DD5001 | NM | |
| General Practice Dentistry | 1223G0001X | 10645 | CO | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0401417359 | VA | Primary |
Addresses
Primary practice location
4239 Holland Rd Ste 762a
Virginia Beach, VA 23452-1943
Mailing address
9928 E Alabama Dr
Apartment 1711
Denver, CO 80247-6339
Phone (720) 272-1351
Other practice location 1
2600 N Main St
Roswell, NM 88201-6554
Phone (888) 988-4066
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 |
|---|---|---|---|
| DD5001 | NM | MD | Dentist |
| 10645 | CO | MD | General Practice Dentistry |
| 0401417359 | VA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Familia Dental Ros LLC | General Practice | Past | Accepting new patients |
Interoperability endpoints
- fbadejoko176113@direct.metrohealth.org
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1649545211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9928 E ALABAMA DR",
"address_2": "APARTMENT 1711",
"city": "DENVER",
"state": "CO",
"postal_code": "802476339",
"telephone_number": "720-272-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4239 HOLLAND RD STE 762A",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521943",
"telephone_number": "467-566-5757"
}
],
"practiceLocations": [
{
"address_1": "2600 N Main St",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "882016554",
"country_code": "US",
"telephone_number": "888-988-4066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BADEJOKO",
"first_name": "FRANCIS",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-15",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD5001",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "10645",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "VA",
"license": "0401417359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.