ANTONY OKINYI ODHIAMBO DDS
NPI 1073740478
Dentist - General Practice in Tyler, TX

Q: What is Antony Odhiambo's NPI number?

The NPI number for Antony Odhiambo is 1073740478. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Q: What is Antony Odhiambo'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 Antony Odhiambo was last updated on November 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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 June 12, 2009PECOS Enrolled

5605 OLD BULLARD RD, TYLER, TX 75703(903) 747-3919(903) 747-3923 Get Directions Write a Review

NPPES record last updated: November 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Antony Okinyi Odhiambo Dds NPPES

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

ANTONY OKINYI ODHIAMBO DDS (NPI 1073740478) is an individual general practice provider in Tyler, Texas, licensed in Texas (24621) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073740478

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameANTONY OKINYI ODHIAMBOCredential: DDS

Location Address5605 OLD BULLARD RDTyler, TX 75703-4306

Mailing Address1499 E Marshall AveLongview, TX 75601-6814 · (903) 242-9777 · Fax (903) 212-4210

Phone(903) 747-3919

Fax(903) 747-3923

Sole ProprietorYes

Enumeration DateJune 12, 2009

Last NPPES UpdateNovember 5, 2016

✔ NPI 1073740478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 24621

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.

5605 OLD BULLARD RD, Tyler, TX 75703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antony Okinyi Odhiambo 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 75703 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 2

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

DR. LUKE JACOB DLABAL III DDS

Dentist (General Practice)

5605 OLD BULLARD RD
TYLER, TX 75703

Smith County (903) 747-3919

ATUL BIDARKAR

Dentist (General Practice)

5605 OLD BULLARD RD
TYLER, TX 75703

Smith County (903) 747-3919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antony Odhiambo's NPI number?

The NPI number for Antony Odhiambo is 1073740478. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Where is Antony Odhiambo located?

Antony Odhiambo practices at 5605 Old Bullard Rd, Tyler, TX 75703. The listed phone number is (903) 747-3919.

What is Antony Odhiambo's specialty?

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

Is Antony Odhiambo enrolled in Medicare?

Yes. Antony Odhiambo is registered in the Medicare PECOS enrollment system.

What insurance does Antony Odhiambo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Antony Odhiambo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Antony Odhiambo was last updated on November 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.