Active NPI
Christian C. Ewelike, RN
- Adult Companion
- Dallas, TX
National Provider Identifier
1063742682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 614002
- Practice address
- 9550 Forest Lane
Ste 310
Dallas, TX 75243 - Phone
- (214) 710-7968
- Fax
- (214) 553-1747
- NPI assigned
- Jan 4, 2010
- Last updated
- Jan 4, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 614002 | TX | Primary |
| Registered Nurse | 163W00000X | 614002 | TX |
Addresses
Primary practice location
9550 Forest Lane
Ste 310
Dallas, TX 75243
Mailing address
9550 Forest Lane
Ste 310
Dallas, TX 75243
Phone (214) 710-7968
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 614002 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1063742682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9550 FOREST LANE",
"address_2": "STE 310",
"city": "DALLAS",
"state": "TX",
"postal_code": "75243",
"telephone_number": "214-710-7968",
"fax_number": "214-553-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 FOREST LANE",
"address_2": "STE 310",
"city": "DALLAS",
"state": "TX",
"postal_code": "75243",
"telephone_number": "214-710-7968",
"fax_number": "214-553-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWELIKE",
"first_name": "CHRISTIAN",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-04",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "TX",
"license": "614002",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "614002",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.