Olumide Toluwalope Olowokere, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35595 Issued in TX

Practice address

1333 Arapaho Ave Ste B
Springdale, AR 72764-6939

Phone

(479) 488-3269

NPI assigned

Aug 10, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

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

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1962058552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6128 W PLEASANT DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589556",
            "telephone_number": "205-276-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 ARAPAHO AVE STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646939",
            "telephone_number": "479-488-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOWOKERE",
        "first_name": "OLUMIDE",
        "middle_name": "TOLUWALOPE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-10",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4703",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olumide.olowokere@va.gov",
            "affiliation": "N",
            "address_1": "4500 S Lancaster Rd",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752167167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Ocampo-Roman, M.S., CF-SLP
• Ellen Marie Odell, DNP
• Allison Sabra Odom, LMSW
• Lauren B Officer, APRN
• Olotor LLC
• Helen Olson
• Optimize Wellness, LLC
• Kirsten Orange, PMHNP
• Joshua T Oriez, MSW
• Hayley Renee Ornstein, PHD

• General Practice Dentistry in Springdale, AR
• Providers in Springdale, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.