Individual provider Active NPI

Dominic Oladele

  • Durable Medical Equipment & Medical Supplies
  • Dayton, OH
National Provider Identifier
1790450351
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
8385 N Main St
Dayton, OH 45415-1602
Phone
(614) 602-1079
NPI assigned
Aug 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8385 N Main St
Dayton, OH 45415-1602

Mailing address

PO Box 5673
Dayton, OH 45405-0673
Phone (614) 602-1079

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dominic@Mainmedicalsupply.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Main Medical Supply Durable Medical Equipment & Medical Supplies Current Accepting new patients

Locations

8385 N Main St
Dayton, OH 45415
Phone (937) 203-8236

Interoperability endpoints

  • Direct secure messaging: dominic@mainmedicalsupply.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1790450351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5673",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454050673",
            "telephone_number": "614-602-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8385 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151602",
            "telephone_number": "614-602-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADELE",
        "first_name": "DOMINIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dominic@Mainmedicalsupply.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8385 N Main St",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454151602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.