ADEKOREDE JOAN ACHRAF ADECHOUBOU DMD
NPI 1912750241
Dentist - Oral and Maxillofacial Surgery in Richmond, VA

Q: What is Adekorede Adechoubou's NPI number?

The NPI number for Adekorede Adechoubou is 1912750241. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Q: What is Adekorede Adechoubou's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since April 08, 2024PECOS Enrolled

401 N 11TH ST, RICHMOND, VA 23219(804) 828-0602(804) 593-4279 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 22, 2025, Jul 2, 2024, Apr 8, 2024 (3 updates tracked since 2024).

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About Adekorede Joan Achraf Adechoubou Dmd NPPES

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

ADEKOREDE JOAN ACHRAF ADECHOUBOU DMD (NPI 1912750241) is an individual oral and maxillofacial surgery provider in Richmond, Virginia, licensed in Virginia (0442000518) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1912750241

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameADEKOREDE JOAN ACHRAF ADECHOUBOUCredential: DMD

Location Address401 N 11TH STRichmond, VA 23219-1901

Mailing Address200 E Broad St # 980257Richmond, VA 23219-1736 · (804) 828-9783

Phone(804) 828-0602

Fax(804) 593-4279

Sole ProprietorNo

Enumeration DateApril 8, 2024

Last NPPES UpdateJune 22, 20253 updates tracked since enumeration

NPPES CertifiedJune 22, 2025

✔ NPI 1912750241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in VA · 0442000518

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0442000518 (VA)

401 N 11TH ST, Richmond, VA 23219

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Secondary Practice Location 1

Location 11250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-9783

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adekorede Joan Achraf Adechoubou Dmd 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 23219 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 20

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

KATHERINE M CZYSZCZON MD

Obstetrics & Gynecology