Tobi Odejimi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

35950 Issued in TX

Practice address

9205 Eagle Dr Ste 100
Mont Belvieu, TX 77523-5620

Phone

(281) 241-4249

NPI assigned

Jun 11, 2019

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lincoln Medical and Mental Health Center

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1174189179
  NPD

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1578122701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 EAGLE DR STE 100",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775235620",
            "telephone_number": "281-241-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 EAGLE DR STE 100",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775235620",
            "telephone_number": "281-241-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEJIMI",
        "first_name": "TOBI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayme Yohani Napoles
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Leah Eckert Neese, M.A., LPC
• Chelsea Nemeth
• Cynthia Nicolini, LPC, LMFT
• Rachael Patton, PT, DPT
• Christine Thuy-Linh Pham, D.D.S.
• Sharon D Porter, DDS
• Phillip Robert Putignano, PT
• Kimberly Joy Rawlinson

• Dentist in Mont Belvieu, TX
• Providers in Mont Belvieu, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.