Aderonke Ogunbameru, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

39047 Issued in TX

Practice address

3602 Matlock Rd Ste 208
Arlington, TX 76015-3600

Phone

(817) 465-1888

NPI assigned

Feb 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Miss Aderonke Adebayo-Dada Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Children'S Dental at Preston Trail, PC

  • Pediatric Dentistry
  • Arlington, TX
  • NPI 1720844111
  NPD
• Park Place Pediatric Dentistry

  • Dentist
  • Arlington, TX
  • NPI 1053719666
  NPD (past)

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1962827196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 MATLOCK RD STE 208",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153600",
            "telephone_number": "817-465-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 MATLOCK RD STE 208",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153600",
            "telephone_number": "817-465-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNBAMERU",
        "first_name": "ADERONKE",
        "name_prefix": "Mrs.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "HAD 78",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15672",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "39047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADERONKE",
            "last_name": "ADEBAYO-DADA",
            "prefix": "MISS",
            "credential": "PEDIATRIC DENTIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald Ofoh
• Oluwatunmike Ogedengbe
• Brandi Oglesby, BBS
• Elexus Oglesby
• Chidinma Oguejiofor
• Tolulope Ogunbodede
• Olubunmi Anna Ogunde
• Tunde Tosin Ogungbeja
• Diane Ogwo
• Joshua Oh, OD

• Pediatric Dentistry in Arlington, TX
• Providers in Arlington, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.