Jeremiah Aigbedion, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36117 Issued in TX

Practice address

21784 Katy Fwy Ste 200
Katy, TX 77449-7790

Phone

(832) 930-7741

NPI assigned

Jul 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Ja Dental Group PLLC

  • General Practice Dentistry
  • Katy, TX
  • NPI 1952031486
  NPD Authorized official

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1801458385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21110 MAGNOLIA HOLLOW LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774076410",
            "telephone_number": "832-279-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21784 KATY FWY STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497790",
            "telephone_number": "832-930-7741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21110 Magnolia Hollow Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774076410",
            "country_code": "US",
            "telephone_number": "832-279-4326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AIGBEDION",
        "first_name": "JEREMIAH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hinda Ahmed, RPH
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• Syed Viqar Ahmed, MD
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• Erhauyi Aigbe
• Hibah Aijaz
• Kanisha Shenell Aikin, MPT
• Aiming High Homecare LLC
• Anthonia Aina, RN
• Aip Procedure Suite, LLC

• General Practice Dentistry in Katy, TX
• Providers in Katy, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.