Active NPI
Olaoluwatomiwa Olukoya
- Dentist
- Baytown, TX
National Provider Identifier
1689236481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35586
- Practice address
- 5010 Garth Rd Ste 204
Baytown, TX 77521-2254 - Phone
- (281) 394-0174
- NPI assigned
- Jul 1, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35586 | TX | Primary |
Addresses
Primary practice location
5010 Garth Rd Ste 204
Baytown, TX 77521-2254
Mailing address
8125 Bayou Bend Blvd
Laurel, MD 20724-1959
Phone (301) 254-5285
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 |
|---|---|---|---|
| 35586 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1689236481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8125 BAYOU BEND BLVD",
"city": "LAUREL",
"state": "MD",
"postal_code": "207241959",
"telephone_number": "301-254-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 GARTH RD STE 204",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775212254",
"telephone_number": "281-394-0174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUKOYA",
"first_name": "OLAOLUWATOMIWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "35586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.