Individual provider Active NPI

Adekunle Ajayi

  • Registered Nurse
  • Fort Worth, TX
National Provider Identifier
1710892963
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
11444636 Issued in TX
Practice address
336 Oakhurst Scenic Dr Apt 2251
Fort Worth, TX 76111-2078
Phone
(214) 723-2065
NPI assigned
Aug 14, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 11444636 TX Primary

Addresses

Primary practice location

336 Oakhurst Scenic Dr Apt 2251
Fort Worth, TX 76111-2078

Mailing address

336 Oakhurst Scenic Dr Apt 2251
Fort Worth, TX 76111-2078
Phone (214) 723-2065

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

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1710892963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 OAKHURST SCENIC DR APT 2251",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112078",
            "telephone_number": "214-723-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 OAKHURST SCENIC DR APT 2251",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112078",
            "telephone_number": "214-723-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "ADEKUNLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "11444636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.