Active NPI
Olusina Adewale, M.D.
- General Practice Physician
- Dayton, TN
National Provider Identifier
1821133588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD028688
- Practice address
- 7693 Rhea County Hwy
#8
Dayton, TN 37321-6082 - Phone
- (423) 775-8117
- NPI assigned
- Feb 20, 2007
- Last updated
- Nov 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD028688 | TN | Primary |
Addresses
Primary practice location
7693 Rhea County Hwy
#8
Dayton, TN 37321-6082
Mailing address
PO Box 22944
Chattanooga, TN 37422-2944
Phone (423) 485-9008
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD028688 | TN | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446854400000",
"number": "1821133588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22944",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374222944",
"telephone_number": "423-485-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7693 RHEA COUNTY HWY",
"address_2": "#8",
"city": "DAYTON",
"state": "TN",
"postal_code": "373216082",
"telephone_number": "423-775-8117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEWALE",
"first_name": "OLUSINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2015-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TN",
"license": "MD028688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.