Organization Active NPI

Mary Oladunni Baiyeri M.D., P.a

  • Neurology with Special Qualifications in Child Neurology Physician
  • Grapevine, TX
National Provider Identifier
1972895522
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
Legal business name
MARY OLADUNNI BAIYERI M.D., P.A
Practice address
1400 W Northwest Hwy Ste 280
Grapevine, TX 76051-8120
Phone
(817) 416-8887
Fax
(817) 416-8878
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Dr. Mary Baiyeri, M.D.
Title
President
Phone
(817) 416-8887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X Primary

Addresses

Primary practice location

1400 W Northwest Hwy Ste 280
Grapevine, TX 76051-8120

Mailing address

1400 W Northwest Hwy Ste 280
Grapevine, TX 76051-8120
Phone (817) 416-8887

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1972895522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W NORTHWEST HWY STE 280",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518120",
            "telephone_number": "817-416-8887",
            "fax_number": "817-416-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W NORTHWEST HWY STE 280",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518120",
            "telephone_number": "817-416-8887",
            "fax_number": "817-416-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY OLADUNNI BAIYERI M.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "BAIYERI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-416-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.