Ayodeji Timothy Idowu, D.D.S

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DEN1000002 Issued in DC

Practice address

1900 Massachusetts Avenue SE
Washington, DC 20003

Phone

(202) 548-5107

NPI assigned

Apr 18, 2008

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1740454800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 GOOSE LANDING CIR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452173",
            "telephone_number": "410-715-1688",
            "fax_number": "410-715-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MASSACHUSETTS AVENUE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20003",
            "telephone_number": "202-548-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDOWU",
        "first_name": "AYODEJI",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "DC",
            "license": "DEN1000002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Support Services
• Joy Idika
• Idoc Optical P C
• Mercy Idoko
• Abimbola Idowu
• Michael Olugbemiga Idowu Jr.
• Olufunke Idowu
• Omolara Idowu
• Sundas Idrees, D.D.S.
• Bashir Ayodeji Idris

• Prosthodontics in Washington, DC
• Providers in Washington, DC by specialty
• Prosthodontics in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.