NPIMap

Organization Active NPI

Adebogun M.D., P. a.

  • Child & Adolescent Psychiatry Physician
  • Flower Mound, TX
National Provider Identifier
1306273560
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
ADEBOGUN M.D., P. A.
Practice address
2620 Long Prairie Road
100
Flower Mound, TX 75022
Phone
(972) 221-7900
Fax
(972) 221-7901
NPI assigned
Oct 2, 2013
Last updated
Jan 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Oladele Adebogun, MDNPI 1104822097
Title
Ceo
Phone
(972) 221-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

2620 Long Prairie Road
100
Flower Mound, TX 75022

Mailing address

PO Box 270603
Flower Mound, TX 75027-0603
Phone (972) 221-7900

National Provider Directory

National Provider Directory

Locations

3700 Forums Dr
Ste 202
Flower Mound, TX 75028

1701 River Run
Ste 1118
Fort Worth, TX 76107
Phone (817) 865-3954

3140 Legacy Dr
Ste 130
Frisco, TX 75034
Phone (888) 902-1704

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1306273560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270603",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750270603",
            "telephone_number": "972-221-7900",
            "fax_number": "972-221-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 LONG PRAIRIE ROAD",
            "address_2": "100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75022",
            "telephone_number": "972-221-7900",
            "fax_number": "972-221-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEBOGUN M.D., P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "ADEBOGUN",
        "authorized_official_first_name": "OLADELE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-221-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.