Ade Adeduntan

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

2019839 Issued in TX

Legal business name

ADE ADEDUNTAN

Practice address

16103 April Ridge Dr
Houston, TX 77083-5255

Phone

(832) 818-1754

NPI assigned

Oct 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Adewumi Adeduntan

Title

Agent

Phone

(832) 818-1754

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1780056002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16103 APRIL RIDGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77083",
            "telephone_number": "832-818-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16103 APRIL RIDGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835255",
            "telephone_number": "832-818-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADE ADEDUNTAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "ADEDUNTAN",
        "authorized_official_first_name": "ADEWUMI",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "832-818-1754",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "2019839",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "2019839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPN",
            "identifier": "17669182",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Addie'S Community Development Corp.
• Mary Elizabeth Addison, LCSW
• Nijiera I Addison, PT, DPT
• Shauntell Addison, LMSW
• Jennifer Ama Addo, MD
• Joy Adebanjo
• Olajumoke Adebanjo
• Olubukola Esther Adebanjo
• Betty Adebayo
• Temitope Victor Adebayo, PA-C

• Preferred Provider Organization in Houston, TX
• Providers in Houston, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.