Individual provider Active NPI

Nicholas Ayoade, DDS

  • Dentist
  • Baytown, TX
National Provider Identifier
1790225464
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33638 Issued in TX
Practice address
5010 Garth Rd Ste 204
Baytown, TX 77521-2254
Phone
(281) 394-0174
NPI assigned
Mar 1, 2017
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 33638 TX Primary
General Practice Dentistry 1223G0001X 33638 TX
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

5010 Garth Rd Ste 204
Baytown, TX 77521-2254

Mailing address

10615 Sugar Trace Dr
Sugar Land, TX 77498-5383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318001779 TX Practitioner - Dentist 1557883600 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33638TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Hospital District CurrentSince Jan 16, 2025 Accepting new patients
Harris County Hospital District General Practice Current Accepting new patients
Harris County Hospital District General Practice CurrentSince Jan 16, 2025 Accepting new patients
Harris County Hospital District Past Accepting new patients

Locations

2118 Washington Ave
Houston, TX 77007
Phone (713) 869-3551

5230 Griggs Rd
Houston, TX 77021
Phone (713) 454-5016

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1790225464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 SUGAR TRACE DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774985383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 GARTH RD STE 204",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212254",
            "telephone_number": "281-394-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOADE",
        "first_name": "NICHOLAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33638",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33638",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.