Active NPI
Adeyinka Anyaegbu, D.D.S
- Dentist
- Dallas, TX
National Provider Identifier
1861765562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27691
- Practice address
- 4650 S Hampton Rd Ste 103
Dallas, TX 75232-1061 - Phone
- (214) 943-1311
- NPI assigned
- Feb 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27691 | TX | Primary |
Addresses
Primary practice location
4650 S Hampton Rd Ste 103
Dallas, TX 75232-1061
Mailing address
912 Rainbow LN
Cedar Hill, TX 75104-3122
Phone (202) 615-8634
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27691 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mjsmiles LLC | Dentist | Current | Accepting new patients |
| Wynnewood Dental Care | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Dallas, TX
- NPI 1841502879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329004800000",
"number": "1861765562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 RAINBOW LN",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751043122",
"telephone_number": "202-615-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 S HAMPTON RD STE 103",
"city": "DALLAS",
"state": "TX",
"postal_code": "752321061",
"telephone_number": "214-943-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANYAEGBU",
"first_name": "ADEYINKA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-12",
"last_updated": "2012-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.