Adetokunbo Igun, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31242 Issued in TX

Practice address

715 W Wheatland Rd
Duncanville, TX 75116-4520

Phone

(972) 298-0347

NPI assigned

Jul 18, 2015

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective May 10, 2016 through May 10, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Network Provider Associates, P.C.

  • General Practice Dentistry
  • Duncanville, TX
  • NPI 1013093855
  NPD (past)

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1619351673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 N HALL ST APT 459",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044270",
            "telephone_number": "972-988-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W WHEATLAND RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164520",
            "telephone_number": "972-298-0347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5349 Amesbury Dr Apt 1002",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752063492",
            "country_code": "US",
            "telephone_number": "512-767-9747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGUN",
        "first_name": "ADETOKUNBO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-18",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liang Rong Hsu, M.D.
• Morgan Hughes
• Carlos Miguel Huicochea Martinez, DDS
• I Rise Counseling and Consulting PLLC
• I&R Medical Couriers, LLC
• Iheart ASC South Dallas, LLC
• Iheart Practice South Dallas, PLLC
• Iman J. Ross, PHD, LPC, P.C.
• Linda Karen Immler, M.S., CCC/SLP
• Innovative Centered Counseling Inc.

• General Practice Dentistry in Duncanville, TX
• Providers in Duncanville, 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 Jun 12, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.