DR. KEHINDE JOHN FASANYA DDS
NPI 1184939076
Dentist in Rockford, IL

Q: What is Kehinde Fasanya's NPI number?

The NPI number for Kehinde Fasanya is 1184939076. It was assigned to this individual provider in the NPPES registry on August 16, 2010.

Q: What is Kehinde Fasanya's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kehinde Fasanya was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 16, 2010PECOS Enrolled

6215 E STATE ST, ROCKFORD, IL 61108(920) 838-1649 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kehinde John Fasanya Dds NPPES

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

DR. KEHINDE JOHN FASANYA DDS (NPI 1184939076) is an individual dentist in Rockford, Illinois, licensed in Illinois (019.028443) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184939076

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KEHINDE JOHN FASANYACredential: DDS

Location Address6215 E STATE STRockford, IL 61108-2514

Mailing Address430 W Erie St Ste 200Chicago, IL 60654-6920 · (920) 838-1649 · Fax (312) 944-9499

Phone(920) 838-1649

Sole ProprietorNo

Enumeration DateAugust 16, 2010

Last NPPES UpdateApril 23, 2021

NPPES CertifiedApril 23, 2021

✔ NPI 1184939076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.028443

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

6215 E STATE ST, Rockford, IL 61108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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. Kehinde John Fasanya 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 61108 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 16

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

ASHLEY TSIAO D.M.D

Dentist (General Practice)