ADESHEWA ODEDINA DMD, MS
NPI 1700579182
Dentist - General Practice in Chicago, IL
About Adeshewa Odedina Dmd, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADESHEWA ODEDINA DMD, MS (NPI 1700579182) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.034325) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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)
Adeshewa Odedina Dmd, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60612 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60612
CHICAGO, IL 60612
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 Adeshewa Odedina's NPI number?
The NPI number for Adeshewa Odedina is 1700579182. It was assigned to this individual provider in the NPPES registry on May 31, 2023.
Where is Adeshewa Odedina located?
Adeshewa Odedina practices at 801 S Paulina St, Chicago, IL 60612. The listed phone number is (708) 543-8960.
What is Adeshewa Odedina's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Adeshewa Odedina enrolled in Medicare?
Yes. Adeshewa Odedina is registered in the Medicare PECOS enrollment system.
What insurance does Adeshewa Odedina accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Humana list Adeshewa Odedina 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 Adeshewa Odedina was last updated on June 15, 2023. 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.
# Adeshewa Odedina, DMD, MS · NPI 1700579182
General Practice provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since May 31, 2023.
## Identity
- **NPI:** 1700579182 (Entity type: Individual)
- **Enumerated:** May 31, 2023
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 019.034325 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 801 S PAULINA ST, Chicago, IL 60612-7210
- **Phone:** (708) 543-8960
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** June 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1700579182) · Data from the CMS NPPES public registry.