Individual provider Active NPI

Ayesha Anjum, DMD

  • Dentist
  • Dallas, TX
National Provider Identifier
1881451037
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41130 Issued in TX
Practice address
3030 Lyndon B Johnson Fwy Ste 1700
Dallas, TX 75234-2759
Phone
(972) 663-5396
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 41130 TX Primary

Addresses

Primary practice location

3030 Lyndon B Johnson Fwy Ste 1700
Dallas, TX 75234-2759

Mailing address

15801 Artist Way Apt 4213
Addison, TX 75001-6179
Phone (270) 799-3260

Other practice location 1

15801 Artist Way Apt 4213
Addison, TX 75001-6179
Phone (617) 358-8300

Other names 1

  • Ayesha Anjum 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
41130TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
True Care Dental of Garland, PLLC Current Accepting new patients
The Emergency Dentist Dentist Current Accepting new patients

Locations

1745 E Hebron Pkwy
Ste 124
Carrollton, TX 75010
Phone (945) 269-5655

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.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1881451037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 ARTIST WAY APT 4213",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016179",
            "telephone_number": "270-799-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LYNDON B JOHNSON FWY STE 1700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752342759",
            "telephone_number": "972-663-5396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15801 Artist Way Apt 4213",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750016179",
            "country_code": "US",
            "telephone_number": "617-358-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANJUM",
        "first_name": "AYESHA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "41130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYESHA",
            "last_name": "ANJUM",
            "credential": "DMD",
            "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 Nov 29, 2024; 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.