Individual provider Active NPI

Adeleke Adebowale

  • Contractor
  • Richmond, TX
National Provider Identifier
1396589891
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
8439 Newport Manor Trce
Richmond, TX 77407-3966
Phone
(346) 219-4875
NPI assigned
Jun 20, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crownfit Logistics CurrentSince Jan 12, 2025 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

8439 Newport Manor Trce
Richmond, TX 77407-3966

Mailing address

8439 Newport Manor Trce
Richmond, TX 77407-3966
Phone (346) 219-4875

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2024.

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1396589891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 NEWPORT MANOR TRCE",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073966",
            "telephone_number": "346-219-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8439 NEWPORT MANOR TRCE",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073966",
            "telephone_number": "346-219-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBOWALE",
        "first_name": "ADELEKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.