Active NPI
Joseph O Ayitey-Adjin Jr., DMD
- General Practice Dentistry
- Coppell, TX
National Provider Identifier
1013219260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 26035
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160525001274 | TX | Order and Referring Only - Dentist | 7315236767 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.