Active NPI
Olutosin Bisiriyu, DC
- Chiropractor
- Carrollton, TX
National Provider Identifier
1922482371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12970
- Practice address
- 2008 E Hebron Pkwy
130
Carrollton, TX 75007-1602 - Phone
- (972) 428-3905
- NPI assigned
- Jul 15, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12970 | TX | Primary |
Addresses
Primary practice location
2008 E Hebron Pkwy
130
Carrollton, TX 75007-1602
Mailing address
2418 Highway 121
2008
Bedford, TX 76021-5158
Phone (773) 957-5910
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 |
|---|---|---|---|
| 12970 | TX | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1922482371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 HIGHWAY 121",
"address_2": "2008",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760215158",
"telephone_number": "773-957-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 E HEBRON PKWY",
"address_2": "130",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071602",
"telephone_number": "972-428-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISIRIYU",
"first_name": "OLUTOSIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.