Dare Victor Ajibade, MD/PHD/MPH

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

S2710 Issued in TX

Practice address

1110 W Gray St Ste 210
Houston, TX 77019-4157

Phone

(713) 844-8413

Fax

(713) 844-8413

NPI assigned

Apr 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dare.ajibade.1@13131.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dva Plastic Surgery, PLLC

  • Clinic/Center
  • Houston, TX
  • NPI 1356199145
  NPD Authorized official
• Dva Medical LLC

  • Plastic Surgery Physician
  • Silver Spring, MD
  • NPI 1831805357

  Single Specialty

  NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1275890816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W GRAY ST STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194157",
            "telephone_number": "713-518-1858",
            "fax_number": "713-518-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W GRAY ST STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194157",
            "telephone_number": "713-844-8413",
            "fax_number": "713-844-8413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Branch Ave Ste 1000A",
            "address_purpose": "LOCATION",
            "city": "Temple Hills",
            "state": "MD",
            "postal_code": "207481401",
            "country_code": "US",
            "telephone_number": "848-391-9189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6211 Executive Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208523906",
            "country_code": "US",
            "telephone_number": "301-468-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7404 Executive Pl Ste 250",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207066221",
            "country_code": "US",
            "telephone_number": "713-844-8413",
            "fax_number": "713-844-8413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8714 Georgia Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103601",
            "country_code": "US",
            "telephone_number": "301-276-4683",
            "fax_number": "301-589-2007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJIBADE",
        "first_name": "DARE",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "MD/PHD/MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD462905",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "S2710",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "DC",
            "license": "MD210001748",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D0092927",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA09901800",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101273317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temiloluwa Ajayi
• Vera Ajejevwe
• Barouyr Ajemian, MD
• George O Ajene, DO
• Andrei Razo Ajero, RN, BSN
• Oluwaseun A Ajibade, MD
• Omiana Abiola Ajibade, NURSE PRACTITIONER
• Olufunke Ajibola
• Motolani Mary Ajibose, CRNA
• Abolaji Ajiboye

• Plastic and Reconstructive Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.