DR. OLUWOLE OLUBUNMI FADAHUNSI DMD
NPI 1396123352
Dentist - Oral and Maxillofacial Surgery in Annandale, VA

Q: What is Oluwole Fadahunsi's NPI number?

The NPI number for Oluwole Fadahunsi is 1396123352. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Q: What is Oluwole Fadahunsi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Oluwole Fadahunsi enrolled in Medicare?

No. Oluwole Fadahunsi has opted out of Medicare through March 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Oluwole Fadahunsi was last updated on September 15, 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 May 11, 2015Opted out of Medicare · through Mar 2, 2027

7611 LITTLE RIVER TPKE STE 101E, ANNANDALE, VA 22003(703) 634-4195 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2022, Jul 16, 2019, May 30, 2019 (3 updates tracked since 2019).

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About Dr. Oluwole Olubunmi Fadahunsi Dmd NPPES

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

DR. OLUWOLE OLUBUNMI FADAHUNSI DMD (NPI 1396123352) is an individual oral and maxillofacial surgery provider in Annandale, Virginia, licensed in Virginia (0401416435) and active in the NPI registry since May 2015. He has opted out of Medicare through March 2, 2027 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396123352

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. OLUWOLE OLUBUNMI FADAHUNSICredential: DMD

Location Address7611 LITTLE RIVER TPKE STE 101EAnnandale, VA 22003-2630

Mailing Address7611 Little River Tpke Ste 101eAnnandale, VA 22003-2630 · (703) 634-4195

Phone(703) 634-4195

Sole ProprietorNo

Enumeration DateMay 11, 2015

Last NPPES UpdateSeptember 15, 20223 updates tracked since enumeration

NPPES CertifiedDecember 5, 2021

✔ NPI 1396123352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in VA · 0401416435✔ Licensed in MD · 16193✔ Licensed in DC · DEN1001975✔ Licensed in MO · 2019016472✔ Licensed in IL · 19032524

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

7611 LITTLE RIVER TPKE STE 101E, Annandale, VA 22003

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Secondary Practice Locations 2

Location 111437 Olive BlvdCreve Coeur, MO 63141-7108 · Phone (314) 355-2000

Location 21220 E Joppa Rd Ste 314Towson, MD 21286-5811 · Phone (410) 583-7600

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 Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Oluwole Olubunmi Fadahunsi Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 2, 2023 through March 2, 2027.

Opt-Out Effective DateMarch 2, 2023

Opt-Out In Effect ThroughMarch 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22003 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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 3

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

SERGIO FABIAN CALLEJA BLANCO DDS

Dentist (Oral and Maxillofacial Surgery)

7611 LITTLE RIVER TPKE STE 101E
ANNANDALE, VA 22003

Fairfax County (703) 634-4195

DR. IRELSY ALEXANDRA RIVERA VELAZQUEZ DMD, MSD

Dentist (Oral and Maxillofacial Surgery)

7611 LITTLE RIVER TPKE STE 101E
ANNANDALE, VA 22003

Fairfax County (787) 949-5828

CAMERON TAYLOR DAHLQUIST DDS

Dentist (Oral and Maxillofacial Surgery)

7611 LITTLE RIVER TPKE STE 101E
ANNANDALE, VA 22003

Fairfax County (703) 650-0638

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 Oluwole Fadahunsi's NPI number?

The NPI number for Oluwole Fadahunsi is 1396123352. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Oluwole Fadahunsi located?

Oluwole Fadahunsi practices at 7611 Little River Tpke Ste 101E, Annandale, VA 22003. The listed phone number is (703) 634-4195.

What is Oluwole Fadahunsi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Oluwole Fadahunsi enrolled in Medicare?

No. Oluwole Fadahunsi has opted out of Medicare through March 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Oluwole Fadahunsi accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Oluwole Fadahunsi 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 Oluwole Fadahunsi was last updated on September 15, 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.