Tolulope Mary Fadipe, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39149 Issued in TX

Practice address

5255 79TH St
Lubbock, TX 79424-2852

Phone

(806) 794-7171

NPI assigned

May 15, 2021

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Abbeville Family Dentistry

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1326199878
  NPD
• Lena Shoukfeh Kharrat DDS PA

  dba South Plains Dental Sleep

  • Dentist
  • Lubbock, TX
  • NPI 1033916002
  NPD

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1346814266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 NIGHTHAWK TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024196",
            "telephone_number": "214-708-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 79TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242852",
            "telephone_number": "806-794-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8383 El Mundo St Apt 814",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770544676",
            "country_code": "US",
            "telephone_number": "817-812-9869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FADIPE",
        "first_name": "TOLULOPE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2023-09-20",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "houston",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8383 El Mundo St Apt 814",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770544676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eyemasters of Texas LTD (EyeMasters)
• Jennifer Merle Ezell, FNP
• Emeka Arinze Ezeokeke
• Jaden Heber Fackrell, MD
• Fadel Eye Group, LLC (Lubbock Eye Professionals)
• Mandy M Fair, LMFT
• Jennifer-Marie C Fairchild, MA
• Kaeli Shea Faires, PHARMD
• Roxanne Sepeda Faison, MAT ATC LAT
• Todd Patrick Faison, MED, ATC, LAT

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.