Individual provider Active NPI

Adenike Osinusi, DDS

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1689394041
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN123323 Issued in GA
Practice address
3752 Cascade Rd SW Ste 190
Atlanta, GA 30331-2149
Phone
(678) 836-2118
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02927700 NJ
General Practice Dentistry 1223G0001X DN123323 GA Primary

Addresses

Primary practice location

3752 Cascade Rd SW Ste 190
Atlanta, GA 30331-2149

Mailing address

4045 George Busbee Pkwy NW Apt 5304
Kennesaw, GA 30144-4861
Phone (205) 201-8886

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
22DI02927700NJMDDentist
DN123323GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1689394041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 GEORGE BUSBEE PKWY NW APT 5304",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444861",
            "telephone_number": "205-201-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3752 CASCADE RD SW STE 190",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312149",
            "telephone_number": "678-836-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSINUSI",
        "first_name": "ADENIKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02927700",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.