NPIMap

Organization Active NPI

Olalekan Okunuga, DDS, P.C.

  • Dentist
  • South Hill, VA
National Provider Identifier
1790187128
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401413867 Issued in VA
Legal business name
OLALEKAN OKUNUGA, DDS, P.C.
Practice address
1165 E Atlantic St
South Hill, VA 23970-9547
Phone
(434) 447-2492
Fax
(434) 447-2873
NPI assigned
Sep 17, 2014
Last updated
Sep 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Haley Wooster
Title
Credentialing Specialist
Phone
(712) 744-4529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401413867 VA Primary

Addresses

Primary practice location

1165 E Atlantic St
South Hill, VA 23970-9547

Mailing address

1165 E Atlantic St
South Hill, VA 23970-9547

National Provider Directory

National Provider Directory
Tax ID family
Dr Yolanda C Robinson DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1790187128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 E ATLANTIC ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239709547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 E ATLANTIC ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239709547",
            "telephone_number": "434-447-2492",
            "fax_number": "434-447-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLALEKAN OKUNUGA, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "WOOSTER",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "712-744-4529"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.