Iyayi Omotese Aigbokhan, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

17938 Issued in MD

Practice address

3060 Mitchellville Rd Ste 108
Bowie, MD 20716-3968

Phone

(301) 218-7711

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1982396891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10190 W LOS GATOS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 MITCHELLVILLE RD STE 108",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163968",
            "telephone_number": "301-218-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIGBOKHAN",
        "first_name": "IYAYI",
        "middle_name": "OMOTESE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "17938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ijeoma G Ahaghotu, FNP
• Fatima Ahamed
• Beatrice Ahanmisi
• Kanwaljit Singh Ahuja, M.D.
• Aidan Counseling Services LLC
• Adetutu A Aina
• Elizabeth O Aina
• Ajay Sonogram,Inc
• Oluwatoyin Elizabeth Ajayi
• Elsie Engosia Ajeih

• Endodontics in Bowie, MD
• Providers in Bowie, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.