Organization Active NPI

Olaitan Okediji DDS, PC

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1831649284
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OLAITAN OKEDIJI DDS, PC
Practice address
233 E Erie St
Suite 210
Chicago, IL 60611
Phone
(312) 280-0034
Fax
(312) 280-7768
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Dr. Olaitan M Okediji, DDS
Title
Owner/ General Dentist
Phone
(312) 280-0034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

233 E Erie St
Suite 210
Chicago, IL 60611

Mailing address

233 E Erie St
Suite 210
Chicago, IL 60611
Phone (312) 280-0034

National Provider Directory

National Provider Directory
Tax ID family
Magnificent Mile Family Dental2 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.

Locations

233 E Erie St
Ste 210
Chicago, IL 60611
Phone (312) 280-0034

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1831649284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E ERIE ST",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-280-0034",
            "fax_number": "312-280-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E ERIE ST",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-280-0034",
            "fax_number": "312-280-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLAITAN OKEDIJI DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "OKEDIJI",
        "authorized_official_first_name": "OLAITAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ GENERAL DENTIST",
        "authorized_official_telephone_number": "312-280-0034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.