Organization Active NPI

Oluwole Ajagbe, DDS, Ms, PC

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1881924769
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5263 Issued in DC
Legal business name
OLUWOLE AJAGBE, DDS, MS, PC
Practice address
3636 16TH St NW
Suite Ag 44
Washington, DC 20010-1146
Phone
(202) 239-7108
NPI assigned
Dec 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Oluwole Ajagbe, DDS, MS
Title
Owner
Phone
(202) 239-7108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5263 DC Primary

Addresses

Primary practice location

3636 16TH St NW
Suite Ag 44
Washington, DC 20010-1146

Mailing address

3636 16TH St NW
Suite Ag 44
Washington, DC 20010-1146
Phone (202) 239-7108

National Provider Directory

National Provider Directory

Locations

3636 16th St NW
Ste AG44
Washington, DC 20010
Phone (202) 239-7108

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1881924769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 16TH ST NW",
            "address_2": "SUITE AG 44",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200101146",
            "telephone_number": "202-239-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 16TH ST NW",
            "address_2": "SUITE AG 44",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200101146",
            "telephone_number": "202-239-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUWOLE AJAGBE, DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "AJAGBE",
        "authorized_official_first_name": "OLUWOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-239-7108",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "5263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.