Olumuyiwa Michael

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

500 E Arapaho Rd Ste 505
Richardson, TX 75081-2765

Phone

(972) 201-7204

NPI assigned

Sep 21, 2017

Last updated

Sep 21, 2017By the provider in NPPES

Sex

Male

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

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.

• Gentle Medicare Services LLC

  • Transportation Broker
  • Dallas, TX
  • NPI 1417511320
  Authorized official Same address or phone

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1053820092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 MARSH LN APT 1516",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752875710",
            "telephone_number": "972-201-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ARAPAHO RD STE 505",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812765",
            "telephone_number": "972-201-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "OLUMUYIWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatemeh Vida Meymand, DC
• Margaret Miao
• Michael D Ashby D.C., P.a. (Ashby Chiropractic Clinic)
• Michael S. Tran, MD, PA (Medi Clinic)
• Michael Wade Collins PT Inc
• Amanda C Micknal, OTR
• Migano Consulting, PLLC (Elite Wound Care & DME Services, LLC)
• Kinsey Miguez, LMSW
• Sharmika Miles, MASTERS OF SW
• Elizabeth Milian, CCC-SLP

• Driver in Richardson, TX
• Providers in Richardson, TX by specialty
• Driver in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.