Individual provider Active NPI

Jack Amayo Ogindo Jr.

  • Licensed Practical Nurse
  • Houston, TX
National Provider Identifier
1154808178
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
229119 Issued in TX
Practice address
14950 Heathrow Forest Parkway
Houston, TX 77032
Phone
(281) 921-2301
Fax
(281) 921-2305
NPI assigned
Jul 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 229119 TX Primary

Addresses

Primary practice location

14950 Heathrow Forest Parkway
Houston, TX 77032

Mailing address

8403 Brighton Lake LN
Houston, TX 77095-4761
Phone (281) 871-1940

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
229119TXMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Unistar Healthcare Services LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1154808178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 BRIGHTON LAKE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770954761",
            "telephone_number": "281-871-1940",
            "fax_number": "713-583-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14950 HEATHROW FOREST PARKWAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77032",
            "telephone_number": "281-921-2301",
            "fax_number": "281-921-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGINDO",
        "first_name": "JACK",
        "middle_name": "AMAYO",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "229119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.