Dutch Epperson

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

205 N Blackstone Ave
Fresno, CA 93701-1914

Phone

(559) 498-0241

Fax

(559) 498-6220

NPI assigned

Jan 5, 2007

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

Practice roles

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.

• Fresno County Apollo Residential Prog.

  • Psychiatric Residential Treatment Facility
  • Fresno, CA
  • NPI 1104978022
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093862500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 N ATLAS WAY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937052210",
            "telephone_number": "559-226-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011914",
            "telephone_number": "559-498-0241",
            "fax_number": "559-498-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "DUTCH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enterprise Superfine LLC
• Chukwuma Christopher Enunwa I, REGISTERED COUNSELOR
• Felix Shielim Enunwa, ED.D, MBA, CADC-II
• Rita O Enunwa, RN, NP
• Environmental Alternatives
• Carissa L Epstein, PTA
• Bernadette Era, FNP
• Erbe Palafox, DDS, Inc.
• Erene Soliman, Psy.D.
• Eric Johnson Chiropractic Incorporated

• Rehabilitation Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.