Oluwatoyin Omotayo Olasode

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12015035A Issued in IN

Practice address

1717 S Calhoun St
Fort Wayne, IN 46802-5257

Phone

(260) 458-2641

Fax

(260) 458-3093

NPI assigned

Jun 24, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Dentist

Education

Indiana University School of Dentistry, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1710803952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S CALHOUN ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468025257",
            "telephone_number": "260-458-2641",
            "fax_number": "260-458-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S CALHOUN ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468025257",
            "telephone_number": "260-458-2641",
            "fax_number": "260-458-3093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Warsaw St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468064175",
            "country_code": "US",
            "telephone_number": "260-458-2641",
            "fax_number": "260-458-3093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3350 E Paulding Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468164513",
            "country_code": "US",
            "telephone_number": "260-458-2641",
            "fax_number": "260-458-3093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLASODE",
        "first_name": "OLUWATOYIN",
        "middle_name": "OMOTAYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12015035A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann P Okoli, RBT
• Doris C Okoli, NP
• Jody E Okuly, RN
• Olayemi Olabade
• Yetunde Oladini, MSED
• Moses O Olatunji, M.D
• Olusola B Olatunji, PHARMD
• Thomas G Oldag, DDS, MSD
• Julia Anne Oleary
• Timothy R Olinger, DDS

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.