Individual provider Active NPI

Ayomide Ogunye, DDS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1508418088
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36169 Issued in TX
Practice address
7324 Gaston Ave Ste 121
Dallas, TX 75214-6159
Phone
(469) 917-0418
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36169 TX Primary
Dentist 122300000X 36160 TX

Addresses

Primary practice location

7324 Gaston Ave Ste 121
Dallas, TX 75214-6159

Mailing address

7324 Gaston Ave Ste 121
Dallas, TX 75214-6159
Phone (469) 917-0418

Other names 1

  • Dr. Mide Ogunye Other name

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
36169TXMDGeneral Practice Dentistry
36160TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ay Dental Associates PLLC Current Accepting new patients

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1508418088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 GASTON AVE STE 121",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146159",
            "telephone_number": "469-917-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 GASTON AVE STE 121",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146159",
            "telephone_number": "469-917-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNYE",
        "first_name": "AYOMIDE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36169",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIDE",
            "last_name": "OGUNYE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.