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DR. ADEPITAN OWOSHO DDS
NPI 1104302264
Dentist - Oral and Maxillofacial Pathology in Saint Louis, MO

Active since July 12, 2018PECOS Enrolled
1500 PARK AVE, SAINT LOUIS, MO 63104(314) 833-2729 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2025, Sep 4, 2020, Mar 29, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Adepitan Owosho Dds NPPES

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

DR. ADEPITAN OWOSHO DDS (NPI 1104302264) is an individual oral and maxillofacial pathology provider in Saint Louis, Missouri, licensed in Missouri (2020029123) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1104302264
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. ADEPITAN OWOSHOCredential: DDS
Location Address1500 PARK AVESaint Louis, MO 63104-3024
Mailing Address1500 Park AveSaint Louis, MO 63104-3024 · (314) 833-2729
Phone(314) 833-2729
Sole ProprietorNo
Enumeration DateJuly 12, 2018
Last NPPES UpdateMarch 4, 20255 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1104302264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
Licenses✔ Licensed in MO · 2020029123✔ Licensed in TX · 33972
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Also ListedDentistTaxonomy 122300000X · License 33972 (TX), 2901022718 (MI), 2020029123 (MO)
1500 PARK AVE, Saint Louis, MO 63104
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Secondary Practice Location 1

Location 15701 Delmar BlvdSaint Louis, MO 63112-2617 · Phone (314) 367-7848

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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)

Dr. Adepitan Owosho 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 63104 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

YASMEEN FATIMA
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 814-8700
CADEN HEATON
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (801) 603-1633
KATHERINE GRACE RUDDELL
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 252-8429
IQRA AZFAR
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (866) 626-2878
JAMIL SEIDU
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 833-2700
ABRAHAM A. HARAKE
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (734) 666-8281
FAISAL KHAN
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 833-2700
DAKSH DESAI
Counselor (Addiction (Substance Use Disorder))
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 833-2700

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 Adepitan Owosho's NPI number?

The NPI number for Adepitan Owosho is 1104302264. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Adepitan Owosho located?

Adepitan Owosho practices at 1500 Park Ave, Saint Louis, MO 63104. The listed phone number is (314) 833-2729.

What is Adepitan Owosho's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Adepitan Owosho enrolled in Medicare?

Yes. Adepitan Owosho is registered in the Medicare PECOS enrollment system.

What insurance does Adepitan Owosho accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 13 other insurers list Adepitan Owosho 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 Adepitan Owosho was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.