Individual provider Active NPI

Andrea Folayan, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1902290554
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34556 Issued in TX
Practice address
Four Lion Dental Boutique
16430 West Lake Houston #700
Houston, TX 77044
Phone
(281) 318-1305
NPI assigned
Mar 21, 2015
Last updated
Aug 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34556 TX Primary

Addresses

Primary practice location

Four Lion Dental Boutique
16430 West Lake Houston #700
Houston, TX 77044

Mailing address

15130 Moonlight Mist Dr
Humble, TX 77346-3963
Phone (209) 484-9877

Other practice location 1

1775 Grand Concourse Fl 6
Bronx, NY 10453-8202
Phone (718) 901-8162

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
I20221228000100 TX Order and Referring Only - DentistPractitioner - Dentist 2466822986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles Art Dentistry PLLC General Practice PastSince Nov 1, 2024 Accepting new patients
Four Lion Dental Boutique General Practice 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, 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": "1426896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1902290554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15130 MOONLIGHT MIST DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463963",
            "telephone_number": "209-484-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FOUR LION DENTAL BOUTIQUE",
            "address_2": "16430 WEST LAKE HOUSTON #700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77044",
            "telephone_number": "281-318-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Grand Concourse Fl 6",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104538202",
            "country_code": "US",
            "telephone_number": "718-901-8162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLAYAN",
        "first_name": "ANDREA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-21",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.