Individual provider Active NPI

Henrietta Ajayi

  • Prosthetic/Orthotic Supplier
  • Irving, TX
National Provider Identifier
1467923623
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
236801 Issued in TX
Practice address
2117 W Airport Fwy Ste 19
Irving, TX 75062-6070
Phone
(972) 870-0002
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 236801 TX Primary

Addresses

Primary practice location

2117 W Airport Fwy Ste 19
Irving, TX 75062-6070

Mailing address

2117 W Airport Fwy Ste 19
Irving, TX 75062-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
236801TXMDProsthetic/Orthotic Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Hair Paradise Salon Inc Prosthetic/Orthotic Supplier CurrentSince Nov 30, 2025 Accepting new patients

Locations

2117 W Airport Fwy
Ste 19
Irving, TX 75062
Phone (214) 289-3499

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1467923623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 W AIRPORT FWY STE 19",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 W AIRPORT FWY STE 19",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626070",
            "telephone_number": "972-870-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "HENRIETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "236801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.