Active NPI
Omosede Osagiede, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Potomac, MD
National Provider Identifier
1962863902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 18497
- Practice address
- 9812 Falls Rd Ste 118
Potomac, MD 20854-3918 - Phone
- (301) 983-9804
- NPI assigned
- Mar 18, 2016
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12012596A | IN | |
| Dentist | 122300000X | 019.030571 | IL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0401416046 | VA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 36656 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 18497 | MD | Primary |
Addresses
Primary practice location
9812 Falls Rd Ste 118
Potomac, MD 20854-3918
Mailing address
9812 Falls Rd Ste 118
Potomac, MD 20854-3918
Phone (301) 983-9804
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 |
|---|---|---|---|
| 019.030571 | IL | MD | Dentist |
| 12012596A | IN | MD | Dentist |
| 0401416046 | VA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 36656 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Light, DMD, PC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| South Texas Dental Associates, L.P. | Past | Accepting new patients | |
| Brident Dental Associates PC | Dentist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Potomac, MD
- NPI 1336397496
Orthodontics and Dentofacial Orthopedics
-
- Dentist
- Dallas, TX
- NPI 1194298281
-
- General Practice Dentistry
- Dallas, TX
- NPI 1083831788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1962863902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9812 FALLS RD STE 118",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543918",
"telephone_number": "301-983-9804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9812 FALLS RD STE 118",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543918",
"telephone_number": "301-983-9804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSAGIEDE",
"first_name": "OMOSEDE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-18",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12012596A",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.030571",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "VA",
"license": "0401416046",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "36656",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "18497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.