Individual provider Active NPI

Mobolaji Falaiye

  • General Practice Dentistry
  • Oxon Hill, MD
National Provider Identifier
1710378716
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16397 Issued in MD
Practice address
6196 Oxon Hill Rd Ste 650
Oxon Hill, MD 20745-3105
Phone
(301) 766-8568
NPI assigned
Feb 11, 2015
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 04041415806 VA
General Practice Dentistry 1223G0001X 16397 MD Primary

Addresses

Primary practice location

6196 Oxon Hill Rd Ste 650
Oxon Hill, MD 20745-3105

Mailing address

6196 Oxon Hill Rd Ste 650
Oxon Hill, MD 20745-3105
Phone (301) 766-8568

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
16397MDMDGeneral Practice Dentistry
04041415806VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1710378716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD STE 650",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453105",
            "telephone_number": "301-766-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD STE 650",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453105",
            "telephone_number": "301-766-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALAIYE",
        "first_name": "MOBOLAJI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "04041415806",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.