MOSUNMOLUWA EGUNYOMI DDS
NPI 1407730617
Dentist - General Practice in Waterloo, IA

Q: What is Mosunmoluwa Egunyomi's NPI number?

The NPI number for Mosunmoluwa Egunyomi is 1407730617. It was assigned to this individual provider in the NPPES registry on August 1, 2025.

Q: What is Mosunmoluwa Egunyomi's specialty?

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

Active since August 01, 2025PECOS Enrolled

905 FRANKLIN ST, WATERLOO, IA 50703(319) 874-3000 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mosunmoluwa Egunyomi Dds NPPES

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

MOSUNMOLUWA EGUNYOMI DDS (NPI 1407730617) is an individual general practice provider in Waterloo, Iowa, licensed in Iowa (DDS-10394) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407730617

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMOSUNMOLUWA EGUNYOMICredential: DDS

Location Address905 FRANKLIN STWaterloo, IA 50703-4407

Mailing Address905 Franklin StWaterloo, IA 50703-4407 · (319) 874-3000

Phone(319) 874-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 1, 2025

NPPES CertifiedAugust 1, 2025

✔ NPI 1407730617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IA · DDS-10394

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.

905 FRANKLIN ST, Waterloo, IA 50703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Iowa, Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mosunmoluwa Egunyomi Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133610165

PECOS Enrollment IDI20251118000439

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.

Medicare Billing Reassignment

Medicare enrollment records show Mosunmoluwa Egunyomi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peoples Community Health Clinic, Inc.

Same address

Federally Qualified Health Center (FQHC)

905 FRANKLIN ST
Waterloo, IA 50703

Reassigned Medicare billing, Iowa enrollment
46 clinicians in this Medicare group

NPI 1093703639 (319) 272-4300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50703 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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.

DIANNA KAY MAGGINETTI ARNP

Nurse Practitioner (Psychiatric/Mental Health)