Individual provider Active NPI

Oluwatobi Gbemi, DDS

  • Dentist
  • Grove City, OH
National Provider Identifier
1689966897
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-024149 Issued in OH
Practice address
3391 Farm Bank Way
Grove City, OH 43123-1973
Phone
(614) 594-2002
NPI assigned
May 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-024149 OH Primary

Addresses

Primary practice location

3391 Farm Bank Way
Grove City, OH 43123-1973

Mailing address

3391 Farm Bank Way
Grove City, OH 43123-1973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160920003123 OH Order and Referring Only - DentistPractitioner - Dentist 7012204928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-024149OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Haid & Johnson CurrentSince Oct 2, 2022 Accepting new patients

Locations

3391 Farm Bank Way
Grove City, OH 43123
Phone (614) 594-2002

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": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1689966897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 FARM BANK WAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431231973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 FARM BANK WAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431231973",
            "telephone_number": "614-594-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBEMI",
        "first_name": "OLUWATOBI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-024149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.