Dva Plastic Surgery, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DVA PLASTIC SURGERY, PLLC

Practice address

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

Phone

(713) 581-1858

NPI assigned

May 8, 2024

Organization subpart

No

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

Authorized official

Name

Dare Ajibade, MDNPI 1275890816

Title

Owner

Phone

(352) 620-5211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dare Victor Ajibade, MD/PHD/MPH

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
  • NPI 1275890816
  NPD Authorized official

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1356199145",
    "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": "713-581-1858"
        },
        {
            "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": "713-581-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "AJIBADE",
        "authorized_official_first_name": "DARE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-620-5211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Duyka, M.ED., BCBA, LBA
• Dva Healthcare Renal Care Inc
• Dva Healthcare Renal Care Inc
• Dva Healthcare Renal Care Inc
• Dva Healthcare Renal Care Inc
• Dva Renal Healthcare Inc
• Dva Renal Healthcare Inc
• Lucas Alexander Dvoracek, M.D.
• DVR Homecare LLC
• Kishan Dwarakanath, MD

• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.