Abimbola Olutimehin, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

32621 Issued in TX

Practice address

7860 9TH Ave
Port Arthur, TX 77642-6909

Phone

(409) 724-6387

NPI assigned

May 19, 2015

Sex

Female

Sole proprietor

Yes

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

Enrolled in IL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• George G. Scott, Jr, DDS PA

  • Pediatric Dentistry
  • Port Arthur, TX
  • NPI 1144303868
  NPD (past)

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1952780280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426909",
            "telephone_number": "409-724-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426909",
            "telephone_number": "409-724-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUTIMEHIN",
        "first_name": "ABIMBOLA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "32621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Patrick O'Shaughnessy, RD, LD
• O&M Pharmacy Inc
• Obiora Okolo, PHARMD
• Fidelis Ajobome Okotie, MD
• Christiana Oloyede
• Ivan Omari, PHARM D
• David C Ong, M.D.
• Mary Katherine Opneshaw, PTA
• Optimum Women'S Health Center Inc.
• Vivek Oza, PA-C

• Pediatric Dentistry in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.