Olusegun Ayoola Oyegunwa, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9306 Issued in NC

Practice address

2300 Ramsey St
Fayetteville, NC 28301-3856

Phone

(919) 841-3911

NPI assigned

May 30, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oyegunwa and Associates, PLLC

  • General Practice Dentistry
  • Carthage, NC
  • NPI 1407471881
  NPD (past) Authorized official
• Olu a Oyegunwa DDS PLLC

  • General Practice Dentistry
  • Wilmington, NC
  • NPI 1396242046
  NPD
• Oyegunwa and Associates II, PLLC

  • General Practice Dentistry
  • Durham, NC
  • NPI 1649820093
  NPD

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1942561634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 MELROSE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856",
            "telephone_number": "919-841-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEGUNWA",
        "first_name": "OLUSEGUN",
        "middle_name": "AYOOLA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Michelle Oxendine, DMD
• Sally Mae Oxendine, L.M.B.T.
• Tanya Michelle Oxendine
• Oyegunwa & Associates IV, PLLC
• Lydia Oyegunwa
• Chigolum Pamela Oyeka, MBBS, MPH
• Francis Ojochemi Oyih, MD
• Jaykumar Vasantbhai Oza, MD
• Rebecca Ozment, LCMHC, LCAS
• Sara Onyinyechukwu Ozumba, MD

• Dentist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.