Individual provider Active NPI

Benedict I Okafor Sr.

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1114540176
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1148777 Issued in TX
Practice address
1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794
Phone
(214) 305-7065
NPI assigned
May 26, 2020
Last updated
May 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1148777 TX Primary
Family Nurse Practitioner 363LF0000X 2023032720 TX

Addresses

Primary practice location

1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794

Mailing address

PO Box 746079
Atlanta, GA 30374-6079
Phone (773) 352-1515

Other practice location 1

4645 Avon Ln
Frisco, TX 75033-1301
Phone (214) 622-7903

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Frisco

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516002267 TX Practitioner - Nurse Practitioner 6204277619 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellaire Wound CareGroup PAC ID 7618456989, 7 clinicians

Practice addresses (Care Compare)

3663 N Sam Houston Pkwy E
Suite 600
Houston, TX 77032-3611
Phone (346) 436-7104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1148777TXMDNurse Practitioner
2023032720TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC Nurse Practitioner CurrentSince Jul 2, 2023 Accepting new patients
Primary Health Physicians, PLLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

11350 US Highway 380
Ste 100
Cross Roads, TX 76227
Phone (214) 296-2945

1515 S Buckner Blvd
Ste 141
Dallas, TX 75217
Phone (214) 305-7065

2310 W University Dr
#1500
Denton, TX 76201
Phone (940) 220-5901

104 S Main St
Keller, TX 76248
Phone (214) 295-9385

377 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (469) 232-2945

Organizations & group practices 4

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1114540176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S BUCKNER BLVD STE 141",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171794",
            "telephone_number": "214-305-7065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4645 Avon Ln",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750331301",
            "country_code": "US",
            "telephone_number": "214-622-7903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKAFOR",
        "first_name": "BENEDICT",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-26",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1148777",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2023032720",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Frisco",
            "affiliation": "N",
            "address_1": "4645 Avon Ln",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750331301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.