MR. SHINA ODEJIMI DDS
NPI 1033440649
Dentist - General Practice in Oklahoma City, OK

Q: What is Shina Odejimi's NPI number?

The NPI number for Shina Odejimi is 1033440649. It was assigned to this individual provider in the NPPES registry on January 21, 2010.

Q: What is Shina Odejimi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Shina Odejimi was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 21, 2010PECOS Enrolled

921 NE 13TH ST, OKLAHOMA CITY, OK 73104(405) 456-5139(405) 456-1650 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Shina Odejimi Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHINA ODEJIMI DDS (NPI 1033440649) is an individual general practice provider in Oklahoma City, Oklahoma, licensed in New York (054771) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033440649

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. SHINA ODEJIMICredential: DDS

Location Address921 NE 13TH STOklahoma City, OK 73104-5007

Mailing Address12308 Carriage WayOklahoma City, OK 73142-3329 · (405) 464-1206

Phone(405) 456-5139

Fax(405) 456-1650

Sole ProprietorNo

Enumeration DateJanuary 21, 2010

Last NPPES UpdateApril 16, 2025

NPPES CertifiedApril 16, 2025

✔ NPI 1033440649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 054771

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

921 NE 13TH ST, Oklahoma City, OK 73104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Shina Odejimi Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER KATHLEEN HINKLE MD

Radiology (Diagnostic Radiology)