Adebowale Alao Adedeji, OWNER/CEO

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

261QH0100X Issued in TX

Practice address

2613 Hawco Dr Apt 1822
2613 Hawco Dr Apt 1822
Grand Prairie, TX 75052-7668

Phone

(214) 705-5047

NPI assigned

Aug 24, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Femmson Enterprises

  • Non-emergency Medical Transport (VAN)
  • Grand Prairie, TX
  • NPI 1811362346
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1295102309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 HAWCO DR APT 1822",
            "address_2": "2613 HAWCO DR APT 1822",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527668",
            "telephone_number": "214-705-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 HAWCO DR APT 1822",
            "address_2": "2613 HAWCO DR APT 1822",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527668",
            "telephone_number": "214-705-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEDEJI",
        "first_name": "ADEBOWALE",
        "middle_name": "ALAO",
        "credential": "OWNER/CEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "261QH0100X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addismind PLLC
• Annie Addison, FNP-BC, NP-C
• Adeola Aminat Adebayo, PMHNP
• Husseinat Kehinde Adebayo, MSN, APRN, PMHNP
• Mariam Adebisi
• Samuel Adekunle Adefeyisan, MD
• Cedith Adelowo, FNP
• Adelson Behavioral and Medical Services LLC
• Dorcas Adeniran, PMHNP-BC, FNP-BC
• Adekunle Adeogun, MD

• Health Service Clinic/Center in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.