DR. EKINOMO A ODUFALU DDS
NPI 1881916047
Dentist - General Practice in Redlands, CA

Active since February 15, 2010PECOS Enrolled
1402 INDUSTRIAL PARK AVE, REDLANDS, CA 92374(909) 798-5777 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Ekinomo A Odufalu Dds NPPES

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

DR. EKINOMO A ODUFALU DDS (NPI 1881916047) is an individual general practice provider in Redlands, California, licensed in California (45799) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881916047
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EKINOMO A ODUFALUCredential: DDS
Location Address1402 INDUSTRIAL PARK AVERedlands, CA 92374-4517
Mailing Address1402 Industrial Park AveRedlands, CA 92374-4517 · (909) 798-5777
Sole ProprietorYes
Enumeration DateFebruary 15, 2010
Last NPPES UpdateFebruary 14, 2017
NPI 1881916047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 45799
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.
1402 INDUSTRIAL PARK AVE, Redlands, CA 92374

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)

Dr. Ekinomo A Odufalu Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92374 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1402 INDUSTRIAL PARK AVE
REDLANDS, CA 92374
Preferred Provider Organization
1402 INDUSTRIAL PARK AVE
REDLANDS, CA 92374

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 Ekinomo Odufalu's NPI number?

The NPI number for Ekinomo Odufalu is 1881916047. It was assigned to this individual provider in the NPPES registry on February 15, 2010.

Where is Ekinomo Odufalu located?

Ekinomo Odufalu practices at 1402 Industrial Park Ave, Redlands, CA 92374. The listed phone number is (909) 798-5777.

What is Ekinomo Odufalu's specialty?

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

Is Ekinomo Odufalu enrolled in Medicare?

Yes. Ekinomo Odufalu is registered in the Medicare PECOS enrollment system.

What insurance does Ekinomo Odufalu 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 5 other insurers list Ekinomo Odufalu 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 Ekinomo Odufalu was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.