Active NPI
Adebowale Oluwaseun Tade, DDS
- Dentist
- Shakopee, MN
National Provider Identifier
1700736600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D15411
- Practice address
- 1759 17TH Ave E
Shakopee, MN 55379-3372 - Phone
- (195) 226-0607
- NPI assigned
- Jan 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D15411 | MN | Primary |
Addresses
Primary practice location
1759 17TH Ave E
Shakopee, MN 55379-3372
Mailing address
7255 181St St W Apt 149
Lakeville, MN 55044-2313
Phone (780) 782-4343
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D15411 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1700736600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7255 181ST ST W APT 149",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550442313",
"telephone_number": "780-782-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1759 17TH AVE E",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793372",
"telephone_number": "195-226-0607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADE",
"first_name": "ADEBOWALE",
"middle_name": "OLUWASEUN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-30",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D15411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.