Active NPI
Funmi Abosede
- General Practice Dentistry
- Baton Rouge, LA
National Provider Identifier
1821528282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6951
- Practice address
- 3455 Government St
Baton Rouge, LA 70806-5717 - Phone
- (225) 831-7834
- NPI assigned
- Jun 18, 2017
- Last updated
- May 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 123002 | AK | |
| General Practice Dentistry | 1223G0001X | 6951 | LA | Primary |
Addresses
Primary practice location
3455 Government St
Baton Rouge, LA 70806-5717
Mailing address
2655 University Blvd Apt 201
University Heights, OH 44118-4755
Other practice location 1
726 E 9th Ave
Anchorage, AK 99501-3739
Phone (408) 334-3931
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6951 | LA | MD | Counselor |
| 123002 | AK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Deerfield Dentistry Professional Corporation | General Practice | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Bridgeton, NJ
- NPI 1477356574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1821528282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 UNIVERSITY BLVD APT 201",
"city": "UNIVERSITY HEIGHTS",
"state": "OH",
"postal_code": "441184755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 GOVERNMENT ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708065717",
"telephone_number": "225-831-7834"
}
],
"practiceLocations": [
{
"address_1": "726 E 9th Ave",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995013739",
"country_code": "US",
"telephone_number": "408-334-3931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABOSEDE",
"first_name": "FUNMI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AK",
"license": "123002",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.