Individual provider Active NPI

Krystle Maria Ogunyemi, DDS

  • Dentist
  • Washington, DC
National Provider Identifier
1689130858
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1001931 Issued in DC
Practice address
250 Kennedy St NW
Washington, DC 20011-5227
Phone
(202) 726-5250
Fax
(202) 481-1828
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN1001931 DC
Dentist 122300000X DEN1001931 DC Primary
Dentist 122300000X 17193 MD

Addresses

Primary practice location

250 Kennedy St NW
Washington, DC 20011-5227

Mailing address

250 Kennedy St NW
Washington, DC 20011-5227
Phone (202) 726-5250

Other identifiers 1

IdentifierTypeStateIssuer
022372504MedicaidDC

Other names 1

  • Krystle Clarke Former name

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

LicenseStateTypeSpecialty
17193MDMDDentist
DEN1001931DCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Flowers Dental, PLLC General Practice CurrentSince Feb 21, 2021 Accepting new patients

Locations

250 Kennedy St NW
Washington, DC 20011
Phone (202) 726-5250

Organizations & group practices 1

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1689130858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 KENNEDY ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115227",
            "telephone_number": "202-726-5250",
            "fax_number": "202-481-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 KENNEDY ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115227",
            "telephone_number": "202-726-5250",
            "fax_number": "202-481-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNYEMI",
        "first_name": "KRYSTLE",
        "middle_name": "MARIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001931",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001931",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17193",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022372504",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTLE",
            "last_name": "CLARKE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.