Active NPI
Cornelius Nwokenaka
- Durable Medical Equipment & Medical Supplies
- Houston, TX
National Provider Identifier
1043395197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0063812
- Practice address
- 9888 Bissonnet St
Suite 410
Houston, TX 77036-8247 - Phone
- (713) 541-1667
- Fax
- (713) 541-2669
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0063812 | TX | Primary |
Addresses
Primary practice location
9888 Bissonnet St
Suite 410
Houston, TX 77036-8247
Mailing address
9888 Bissonnet St
Suite 410
Houston, TX 77036-8247
Phone (713) 541-1667
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155599701 | Medicaid | TX | |
| 155599702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0063812 | TX | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NCN Healthcare Services Inc | Durable Medical Equipment & Medical Supplies | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Houston, TX
- NPI 1083852529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043395197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9888 BISSONNET ST",
"address_2": "SUITE 410",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770368247",
"telephone_number": "713-541-1667",
"fax_number": "713-541-2669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9888 BISSONNET ST",
"address_2": "SUITE 410",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770368247",
"telephone_number": "713-541-1667",
"fax_number": "713-541-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWOKENAKA",
"first_name": "CORNELIUS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0063812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155599701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155599702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.