Joseph O Ayitey-Adjin Jr., DMD
Individual provider Active NPI General Practice Dentistry · Coppell, TX
NPI 1013219260 · NPPES record last updated May 18, 2015
Key facts
- NPI
- 1013219260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 26035 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160525001274 | TX | Order and Referring Only - Dentist |
7315236767 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Network Provider Associates, P.C. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 26035 | TX | Yes |
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
Other providers in Coppell, TX
- Atma II Assistant Living Facility
- Audrey E Kteily PHD PLLC
- Mary M. Augustine
- Ashley Velasco Avila
- Twyla Michelle Axelson
- Aronette Azu
- Sara Bachoo-Ali
- Back to Eden
- Back to Eden Community Clinic LLC
- Sangjun Baek
All providers in Coppell, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.