Individual provider Active NPI

Pius O Okorie, CEO

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Mesquite, TX
National Provider Identifier
1073691952
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
0066402 Issued in TX
Practice address
3939 US Highway 80 E Ste 168
Mesquite, TX 75150-8105
Phone
(972) 613-8400
Fax
(972) 613-8406
NPI assigned
Nov 1, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0066402 TX Primary

Addresses

Primary practice location

3939 US Highway 80 E Ste 168
Mesquite, TX 75150-8105

Mailing address

3939 US Highway 80 E Ste 168
Mesquite, TX 75150-8105
Phone (972) 613-8400

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

LicenseStateTypeSpecialty
0066402TXMDParenteral & Enteral Nutrition Supplies (DME)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073691952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E STE 168",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751508105",
            "telephone_number": "972-613-8400",
            "fax_number": "972-613-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E STE 168",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751508105",
            "telephone_number": "972-613-8400",
            "fax_number": "972-613-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORIE",
        "first_name": "PIUS",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0066402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, 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.

Verify at the official NPI Registry.