Individual provider Active NPI

Joseph O Ayitey-Adjin Jr., DMD

  • General Practice Dentistry
  • Coppell, TX
National Provider Identifier
1013219260
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26035 Issued in TX
Practice address
761 S Macarthur Blvd
Suite 117
Coppell, TX 75019-4227
Phone
(972) 393-9700
Fax
(972) 745-8842
NPI assigned
Nov 20, 2010
Last updated
May 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26035 TX Primary

Addresses

Primary practice location

761 S Macarthur Blvd
Suite 117
Coppell, TX 75019-4227

Mailing address

14836 Ireland LN
Frisco, TX 75035-1216
Phone (214) 783-4318

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160525001274 TX Order and Referring Only - DentistPractitioner - Dentist 7315236767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Network Provider Associates, P.C. 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": "1290211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1013219260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14836 IRELAND LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351216",
            "telephone_number": "214-783-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 S MACARTHUR BLVD",
            "address_2": "SUITE 117",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194227",
            "telephone_number": "972-393-9700",
            "fax_number": "972-745-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYITEY-ADJIN",
        "first_name": "JOSEPH",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-20",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.