Individual provider Active NPI

Zainab Temitope Adesanya, D.M.D

  • Dentist
  • New Albany, OH
National Provider Identifier
1891135802
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30024152 Issued in OH
Practice address
5040 Forest Dr Ste 220
New Albany, OH 43054-8167
Phone
(614) 808-3688
Fax
(614) 808-3647
NPI assigned
Jul 5, 2013
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X RES.3344 OH
Dentist 122300000X 30024152 OH Primary

Addresses

Primary practice location

5040 Forest Dr Ste 220
New Albany, OH 43054-8167

Mailing address

5040 Forest Dr Ste 220
New Albany, OH 43054-8167
Phone (614) 808-3688

Other practice location 1

716 Adair Ave
Zanesville, OH 43701
Phone (740) 891-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415001688 OH Order and Referring Only - DentistPractitioner - Dentist 7012235427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30024152OHMDDentist
RES.3344OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Zainab Temitope Adesanya, DMD, LLC CurrentSince Mar 27, 2022 Accepting new patients

Locations

5040 Forest Dr
Ste 220
New Albany, OH 43054
Phone (614) 427-3266

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.

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1891135802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 FOREST DR STE 220",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548167",
            "telephone_number": "614-808-3688",
            "fax_number": "614-808-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 FOREST DR STE 220",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548167",
            "telephone_number": "614-808-3688",
            "fax_number": "614-808-3647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Adair Ave",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "43701",
            "country_code": "US",
            "telephone_number": "740-891-9000",
            "fax_number": "740-891-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADESANYA",
        "first_name": "ZAINAB",
        "middle_name": "TEMITOPE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "RES.3344",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30024152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.