Individual provider Active NPI

Yetunde Oni, D.C

  • Chiropractor
  • Hyattsville, MD
National Provider Identifier
1669825337
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03861 Issued in MD
Practice address
4301 Garden City Dr Ste 205
Hyattsville, MD 20785-2365
Phone
(240) 341-0005
Fax
(240) 341-0004
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X S03861 MD
Chiropractor 111N00000X S03861 MD Primary

Addresses

Primary practice location

4301 Garden City Dr Ste 205
Hyattsville, MD 20785-2365

Mailing address

4301 Garden City Dr Ste 205
Hyattsville, MD 20785-2365
Phone (240) 341-0005

Other practice location 1

14201 Laurel Park Dr Ste 212
Laurel, MD 20707-5203
Phone (240) 341-0005

Other practice location 2

11750 Business Park Dr Ste 206
Waldorf, MD 20601-2999
Phone (240) 341-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713000086 DC Practitioner - Chiropractic 5991128720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Artisan Chiropractic Clinic LLCGroup PAC ID 9537582366, 3 clinicians

Practice addresses (Care Compare)

4301 Garden City Dr
Suite 205
Hyattsville, MD 20785-2365
Phone (240) 341-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S03861MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Artisan Chiropractic Clinic, LLC Chiropractor CurrentSince Jul 13, 2020 Accepting new patients
Artisan Chiropractic Clinic, LLC Chiropractor Past Accepting new patients
Artisan Chiropractic Clinic, LLC Chiropractor PastSince Jul 22, 2025 Accepting new patients

Locations

4301 Garden City Dr
Ste 205
Hyattsville, MD 20785
Phone (240) 341-0005

14201 Laurel Park Dr
Ste 212
Laurel, MD 20707
Phone (240) 341-0005

11750 Business Park Dr
Ste 206
Waldorf, MD 20601
Phone (240) 341-0005

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1669825337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GARDEN CITY DR STE 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852365",
            "telephone_number": "240-341-0005",
            "fax_number": "240-341-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GARDEN CITY DR STE 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852365",
            "telephone_number": "240-341-0005",
            "fax_number": "240-341-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14201 Laurel Park Dr Ste 212",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207075203",
            "country_code": "US",
            "telephone_number": "240-341-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11750 Business Park Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206012999",
            "country_code": "US",
            "telephone_number": "240-341-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONI",
        "first_name": "YETUNDE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MD",
            "license": "S03861",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.