NPIMap

Organization Active NPI

Funto Ayanleke DDS

  • Dental Clinic/Center
  • Lodi, CA
National Provider Identifier
1699376350
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FUNTO AYANLEKE DDS
Doing business as
Funto Ayanleke DDS
Practice address
1116 W Tokay St Ste a
Lodi, CA 95240-3852
Phone
(209) 333-2554
NPI assigned
Nov 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Dr. Funto B AyanlekeNPI 1417498759
Title
Owner
Phone
(209) 333-2554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1116 W Tokay St Ste a
Lodi, CA 95240-3852

Mailing address

1116 W Tokay St Ste a
Lodi, CA 95240-3852
Phone (209) 333-2554

Other names 1

  • Funto Ayanleke DDS Doing business as

National Provider Directory

National Provider Directory

Locations

1116 W Tokay St
Ste A
Lodi, CA 95240
Phone (209) 333-2554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1699376350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 W TOKAY ST STE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403852",
            "telephone_number": "209-333-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 W TOKAY ST STE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403852",
            "telephone_number": "209-333-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNTO AYANLEKE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-07",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "AYANLEKE",
        "authorized_official_first_name": "FUNTO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-333-2554",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Funto Ayanleke DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.