BIGWAY FAMILY DENTAL PLLC
NPI 1902410699
Dentist - General Practice in San Antonio, TX

Q: What is Bigway Family Dental PLLC's NPI number?

The NPI number for Bigway Family Dental PLLC is 1902410699. It was assigned to this organization in the NPPES registry on September 1, 2020.

Q: What is Bigway Family Dental PLLC's specialty?

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

Active since September 01, 2020

11930 W US HIGHWAY 90 STE 106, SAN ANTONIO, TX 78245(210) 858-5570(210) 858-9494 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2025, Mar 9, 2021, Sep 1, 2020 (3 updates tracked since 2020).

On this page

About Bigway Family Dental Pllc NPPES

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

BIGWAY FAMILY DENTAL PLLC (NPI 1902410699) is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since September 2020. The organization lists Ayodele Oluropo Ifarajimi, Dentist, as its authorized official.

NPPES Registry Identity

NPI1902410699

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBIGWAY FAMILY DENTAL PLLC

Location Address11930 W US HIGHWAY 90 STE 106San Antonio, TX 78245-9613

Mailing Address11930 W Us Highway 90 Ste 106San Antonio, TX 78245-9613 · (210) 858-5570 · Fax (210) 858-9494

Phone(210) 858-5570

Fax(210) 858-9494

Organization SubpartNo

Authorized OfficialAyodele Oluropo IfarajimiDentist · (210) 858-5570

Enumeration DateSeptember 1, 2020

Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1902410699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

11930 W US HIGHWAY 90 STE 106, San Antonio, TX 78245

Open in Google Maps ↗

Other Identifiers 1

Medicaid384599215TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bigway Family Dental Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bigway Family Dental PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ayodele Ifarajimi, DMD

Dentist

NPI 1982197497

103 E 28TH AVE
Pampa, TX 79065

(806) 669-1833

✔ PECOS446 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bigway Family Dental PLLC's NPI number?

The NPI number for Bigway Family Dental PLLC is 1902410699. It was assigned to this organization in the NPPES registry on September 1, 2020.

Where is Bigway Family Dental PLLC located?

Bigway Family Dental PLLC is located at 11930 W Us Highway 90 Ste 106, San Antonio, TX 78245. The listed phone number is (210) 858-5570.

What is Bigway Family Dental PLLC's specialty?

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

Is Bigway Family Dental PLLC enrolled in Medicare?

Yes. Bigway Family Dental PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bigway Family Dental PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Bigway Family Dental PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bigway Family Dental PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Bigway Family Dental PLLC 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 Bigway Family Dental PLLC was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.