DR. ADELEKE MOWOBI DMD
NPI 1679197917
Dentist - General Practice in Ridgecrest, CA
About Dr. Adeleke Mowobi Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ADELEKE MOWOBI DMD (NPI 1679197917) is an individual general practice provider in Ridgecrest, California, licensed in Illinois (019.032621) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Adeleke Mowobi Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Adeleke Mowobi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Arlington Heights, IL 60004
- Reassigned Medicare billing, Illinois enrollment
- 1,047 clinicians in this Medicare group
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 93555 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIDGECREST, CA 93555
RIDGECREST, CA 93555
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 Adeleke Mowobi's NPI number?
The NPI number for Adeleke Mowobi is 1679197917. It was assigned to this individual provider in the NPPES registry on June 2, 2020.
Where is Adeleke Mowobi located?
Adeleke Mowobi practices at 1 Administration Cir, Ridgecrest, CA 93555. The listed phone number is (760) 939-8030.
What is Adeleke Mowobi's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Adeleke Mowobi enrolled in Medicare?
Yes. Adeleke Mowobi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Adeleke Mowobi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adeleke Mowobi reassigns Medicare benefits to Cook County (Arlington Heights, IL). 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 Adeleke Mowobi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Adeleke Mowobi was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Adeleke Mowobi, DMD · NPI 1679197917
General Practice provider in Ridgecrest, California. Individual provider, active in the CMS NPPES registry since June 2, 2020.
## Identity
- **NPI:** 1679197917 (Entity type: Individual)
- **Enumerated:** June 2, 2020
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 019.032621 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 ADMINISTRATION CIR, Ridgecrest, CA 93555-6104
- **Phone:** (760) 939-8030
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Cook County (NPI 1518087428, Arlington Heights, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1679197917) · Data from the CMS NPPES public registry.