ANDREW AKINDUTIRE DMD
NPI 1104470368
Dentist - General Practice in Converse, TX

Q: What is Andrew Akindutire's NPI number?

The NPI number for Andrew Akindutire is 1104470368. It was assigned to this individual provider in the NPPES registry on July 26, 2019.

Q: What is Andrew Akindutire'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 Andrew Akindutire was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 26, 2019PECOS Enrolled

8214 FM-78, SUITE 105, CONVERSE, TX 78109(210) 920-4963 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2022, Mar 3, 2021, Feb 24, 2021 and 1 more (4 updates tracked since 2019).

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About Andrew Akindutire Dmd NPPES

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

ANDREW AKINDUTIRE DMD (NPI 1104470368) is an individual general practice provider in Converse, Texas, licensed in Texas (36921) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Poplar Bluff.

NPPES Registry Identity

NPI1104470368

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameANDREW AKINDUTIRECredential: DMD

Location Address8214 FM-78, SUITE 105Converse, TX 78109

Mailing Address8214 Fm-78, Suite 105Converse, TX 78109-8944 · (210) 920-4963

Phone(210) 920-4963

Sole ProprietorNo

Enumeration DateJuly 26, 2019

Last NPPES UpdateDecember 2, 20224 updates tracked since enumeration

NPPES CertifiedNovember 30, 2022

✔ NPI 1104470368 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 · 36921

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.

8214 FM-78, Converse, TX 78109

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Secondary Practice Location 1

Location 13101 Oak Groove Rd., Suite 6Poplar Bluff, MO 63901 · Phone (573) 840-3013

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Andrew Akindutire Dmd 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 78109 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

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

THE LIGHT FAMILY DENTAL AND IMPLANT DENTISTRY PLLC

Dentist (General Practice)

8214 FM-78, SUITE 105
CONVERSE, TX 78109

Bexar County (210) 920-4963

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 Andrew Akindutire's NPI number?

The NPI number for Andrew Akindutire is 1104470368. It was assigned to this individual provider in the NPPES registry on July 26, 2019.

Where is Andrew Akindutire located?

Andrew Akindutire practices at 8214 Fm-78 Suite 105, Converse, TX 78109. The listed phone number is (210) 920-4963.

What is Andrew Akindutire's specialty?

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

Is Andrew Akindutire enrolled in Medicare?

Yes. Andrew Akindutire is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Akindutire accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Andrew Akindutire 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 Andrew Akindutire was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.