Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275890816 Individual Practitioner Male Practitioner

Dr. Dare Victor Ajibade , MD, PhD, MPH

Surgery - Plastic and Reconstructive Surgery • Houston, TX

Professional Overview & Biography Verified Profile Summary

Dr. Dare Ajibade, MD, PhD, MPH is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Houston, TX. Practice services are available at 1110 W GRAY ST STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1110 W Gray St Ste 210

Houston, TX 770194157

Telephone 7138448413
Fax 7138448413
Associated Practice Facility / Clinic
🏢 Dva Plastic Surgery, Pllc Facility NPI 1356199145

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.9 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
104 Specialists

Practicing in Houston, TX (402 Statewide)

Telehealth Adoption Rate
9.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-20
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License TX S2710

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License PA MD462905

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License DC MD210001748

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License MD D0092927

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License NJ 25MA09901800

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License VA 0101273317

A surgeon who specializes in plastic and reconstructive surgery.

Secondary Practice Locations

3701 Branch Ave Ste 1000a

Temple Hills, MD 207481401

Phone: 8483919189

6211 Executive Blvd

Rockville, MD 208523906

Phone: 3014689001

7404 Executive Pl Ste 250

Lanham, MD 207066221

Phone: 7138448413

8714 Georgia Ave

Silver Spring, MD 209103601

Phone: 3012764683

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location May 20, 2026

Registered at 1110 W GRAY ST STE 210, HOUSTON, TX 770194157 (Tel: 7138448413)

📍
Updated Business Mailing Address May 20, 2026

Registered at 1110 W GRAY ST STE 210, HOUSTON, TX 770194157 (Tel: 7135181858)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2026

Surgery (License #MD462905 in PA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2024

Surgery (License #0101273317 in VA)

📍
Updated Practice Location December 11, 2022

Registered at 8714 GEORGIA AVE, SILVER SPRING, MD 209103601 (Tel: 3012764683)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2022

Surgery (License #MD210001748 in DC)

📍
Updated Business Mailing Address June 18, 2020

Registered at 94 OLD SHORT HILLS RD, LIVINGSTON, NJ 070395672

NPI Profile Active April 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2012

Registered at 94 OLD SHORT HILLS RD, LIVINGSTON, NJ 070395672 (Tel: 8483919189)

📍
Updated Business Mailing Address April 20, 2012

Registered at 57 ORCHARD ST, BLOOMFIELD, NJ 070035103 (Tel: 8483919189)

👤
Provider Name / Credentials Updated April 20, 2012

Recorded as DARE AJIBADE, MD/PHD/MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2012

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 20, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275890816
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2012
Last Update: May 20, 2026
Sole Proprietor: Yes

Mailing Address

1110 W Gray St Ste 210

Houston, TX 770194157

Phone: 7135181858

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.