OLUSEGUN K. ALONGE DDS
NPI 1548243249
Dentist - General Practice in Bryan, TX

Q: What is Olusegun Alonge's NPI number?

The NPI number for Olusegun Alonge is 1548243249. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Q: What is Olusegun Alonge'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 Olusegun Alonge was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 November 28, 2005PECOS Enrolled

624 MARY LAKE DR, BRYAN, TX 77801(979) 846-2500(979) 846-2530 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Olusegun K. Alonge Dds NPPES

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

OLUSEGUN K. ALONGE DDS (NPI 1548243249) is an individual general practice provider in Bryan, Texas, licensed in Texas (20289) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1548243249

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameOLUSEGUN K. ALONGECredential: DDS

Location Address624 MARY LAKE DRBryan, TX 77801-3423

Mailing Address1500 University Dr E, #100College Station, TX 77840-2600 · (979) 846-1100 · Fax (979) 260-9390

Phone(979) 846-2500

Fax(979) 846-2530

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateNovember 28, 2005

Last NPPES UpdateJune 20, 2011

✔ NPI 1548243249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 20289

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.

Also ListedDentistTaxonomy 122300000X · License 20289 (TX)

624 MARY LAKE DR, Bryan, TX 77801

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Other Identifiers 8

Other741715140TX · Tax Id

Other1821185299TX · Npi Agency

Medicare OSCAR/certification451942TX

Other1275620551TX · Npi Clinic R

Medicaid154467801TX

Medicaid154467803TX

Medicare OSCAR/certification451986TX

Other1649265646TX · Npi Cinic B

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

✔

Enrolled in Medicare (PECOS)

Olusegun K. Alonge Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628219250

PECOS Enrollment IDI20251209002460

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 77801 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.

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 Olusegun Alonge's NPI number?

The NPI number for Olusegun Alonge is 1548243249. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Olusegun Alonge located?

Olusegun Alonge practices at 624 Mary Lake Dr, Bryan, TX 77801. The listed phone number is (979) 846-2500.

What is Olusegun Alonge's specialty?

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

Is Olusegun Alonge enrolled in Medicare?

Yes. Olusegun Alonge is registered in the Medicare PECOS enrollment system.

What insurance does Olusegun Alonge 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 11 other insurers list Olusegun Alonge 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 Olusegun Alonge was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.