Organization Active NPI

Aja Walker-Idemudia, P.C.

Doing business as Oral Direct Dental

  • General Practice Dentistry
  • Mansfield, TX
National Provider Identifier
1891610796
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AJA WALKER-IDEMUDIA, P.C.
Doing business as
Oral Direct Dental
Practice address
911 E Broad St Ste 124
Mansfield, TX 76063-1761
Phone
(682) 427-7675
NPI assigned
Aug 11, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Dr. Aja Walker, DDS
Title
Dentist
Phone
(682) 427-7675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

911 E Broad St Ste 124
Mansfield, TX 76063-1761

Mailing address

911 E Broad St Ste 124
Room 21
Mansfield, TX 76063-1761

Other names 1

  • Oral Direct Dental Doing business as

National Provider Directory

National Provider Directory

Locations

911 E Broad St
Ste 124
Mansfield, TX 76063

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1891610796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E BROAD ST STE 124",
            "address_2": "ROOM 21",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E BROAD ST STE 124",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631761",
            "telephone_number": "682-427-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJA WALKER-IDEMUDIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "AJA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "682-427-7675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Direct Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.