Individual provider Active NPI

Faith T Ajiboye

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Quincy, MA
National Provider Identifier
1063911923
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DN10000081 Issued in MA
Practice address
500 Congress St Ste 3D
Quincy, MA 02169-0917
Phone
(617) 773-9900
NPI assigned
Feb 6, 2018
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DN10000081 MA Primary

Addresses

Primary practice location

500 Congress St Ste 3D
Quincy, MA 02169-0917

Mailing address

500 Congress St Ste 3D
Quincy, MA 02169-0917
Phone (617) 773-9900

Other practice location 1

720 Washington St # 3
Attleboro, MA 02703-6948
Phone (508) 761-7700

Other practice location 2

6218 Glenway Ave
Cincinnati, OH 45211-6314
Phone (513) 245-8460

Other names 1

  • Dr. Faith T Adewusi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 24, 2025 through Sep 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10000081MAMDOral & Maxillofacial Surgery (D.M.D.)
12195CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nhoms, PLLC CurrentSince Aug 25, 2024 Accepting new patients
Kireru Dental Associates Inc Past Accepting new patients

Locations

500 Congress St
Ste 3D
Quincy, MA 02169
Phone (617) 773-9900

Interoperability endpoints

  • Direct secure messaging: faith.ajiboye@xdr.hhchealthdirect.org

Organizations & group practices 2

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": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1063911923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CONGRESS ST STE 3D",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690917",
            "telephone_number": "617-773-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CONGRESS ST STE 3D",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690917",
            "telephone_number": "617-773-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Washington St # 3",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027036948",
            "country_code": "US",
            "telephone_number": "508-761-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6218 Glenway Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452116314",
            "country_code": "US",
            "telephone_number": "513-245-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJIBOYE",
        "first_name": "FAITH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "DN10000081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAITH",
            "last_name": "ADEWUSI",
            "middle_name": "T",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.