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MR. DAVID OLATUNJI OMOLE DDS
NPI 1528622735
Dentist in New Hyde Park, NY

Active since April 24, 2019PECOS Enrolled
270-05 76TH AVENUE DEPT. OF DENTAL MEDICINE / ORAL AND, SURGERY NEW HYDE PARK , NY, NY 11040, NEW HYDE PARK, NY 11040(718) 470-4120(718) 347-3483 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2024, Aug 1, 2024, Jan 28, 2020 and 1 more (4 updates tracked since 2019).

About Mr. David Olatunji Omole Dds NPPES

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

MR. DAVID OLATUNJI OMOLE DDS (NPI 1528622735) is an individual dentist in New Hyde Park, New York, licensed in Foreign Country (117025) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Univ Of Western Ontario Schulich School Of Med (2018).

NPPES Registry Identity

NPI1528622735
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. DAVID OLATUNJI OMOLECredential: DDS
Location Address270-05 76TH AVENUE DEPT. OF DENTAL MEDICINE / ORAL AND, SURGERY NEW HYDE PARK , NY, NY 11040New Hyde Park, NY 11040
Mailing Address270-05 76th Avenue Dept. Of Dental Medicine / Oral And, Surgery New Hyde Park , Ny, Ny 11040New Hyde Park, NY 11040 · (718) 470-4120 · Fax (718) 347-3483
Phone(718) 470-4120
Fax(718) 347-3483
Sole ProprietorYes
Medical School CMSUniv Of Western Ontario Schulich School Of MedGraduated 2018
Enumeration DateApril 24, 2019
Last NPPES UpdateJanuary 28, 20204 updates tracked since enumeration
✔ NPI 1528622735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ZZ · 117025
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.
270-05 76TH AVENUE DEPT. OF DENTAL MEDICINE / ORAL AND, New Hyde Park, NY 11040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Olatunji Omole Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214264225
PECOS Enrollment IDI20241010001065
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 David Omole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwind Oral And Facial Surgery LLC
1,303 mi
Oral and Maxillofacial Surgery
2301 N. WALDRON
Hutchinson, KS 67502
  • Reassigned Medicare billing, Kansas enrollment
  • 2 clinicians in this Medicare group
NPI 1093818478 (620) 663-1141

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 11040 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 David Omole's NPI number?

The NPI number for David Omole is 1528622735. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is David Omole located?

David Omole practices at 270-05 76th Avenue Dept. Of Dental Medicine / Oral And Surgery New Hyde Park , Ny, Ny 11040, New Hyde Park, NY 11040. The listed phone number is (718) 470-4120.

What is David Omole's specialty?

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

Is David Omole enrolled in Medicare?

Yes. David Omole is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Omole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Omole reassigns Medicare benefits to Southwind Oral And Facial Surgery LLC (Hutchinson, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Omole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Omole accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 4 other insurers list David Omole 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 David Omole was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.