Active NPI
Andrew Olusegun Abolarin, DDS
- Dentist
- Philadelphia, PA
National Provider Identifier
1700973567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS037319
- Practice address
- 7439 Frankford Ave
2ND Floor
Philadelphia, PA 19136-3600 - Phone
- (215) 613-5808
- Fax
- (215) 613-6818
- NPI assigned
- Oct 5, 2006
- Last updated
- Feb 22, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS037319 | PA | Primary |
| General Practice Dentistry | 1223G0001X | 052102 | NY | |
| General Practice Dentistry | 1223G0001X | DI02310800 | NJ |
Addresses
Primary practice location
7439 Frankford Ave
2ND Floor
Philadelphia, PA 19136-3600
Mailing address
7439 Frankford Ave
FL 2
Philadelphia, PA 19136-3600
Phone (215) 613-5808
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS037319 | PA | MD | Dentist |
| DI02310800 | NJ | MD | General Practice Dentistry |
| 052102 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abolarin LLC | General Practice | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1700973567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7439 FRANKFORD AVE",
"address_2": "FL 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191363600",
"telephone_number": "215-613-5808",
"fax_number": "215-613-5818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7439 FRANKFORD AVE",
"address_2": "2ND FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191363600",
"telephone_number": "215-613-5808",
"fax_number": "215-613-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABOLARIN",
"first_name": "ANDREW",
"middle_name": "OLUSEGUN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS037319",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052102",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "DI02310800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.