Individual provider Active NPI

Daniel Adebowale Iyaomolere

  • Social Worker
  • Round Rock, TX
National Provider Identifier
1235781600
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
3079 Hill St
Round Rock, TX 78664-5789
Phone
(774) 400-3962
NPI assigned
Jul 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Interpreter 171R00000X
Contractor 171W00000X
Driver 172A00000X
Peer Specialist 175T00000X
Nurse's Aide 376K00000X
Social Worker 104100000X RI Primary

Addresses

Primary practice location

3079 Hill St
Round Rock, TX 78664-5789

Mailing address

3079 Hill St
Round Rock, TX 78664-5789
Phone (774) 400-3962

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL universaltranstx
CONNECT URL universaltx

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rom Global Care & Transportation Services LLC CurrentSince Nov 3, 2019 Accepting new patients
Universal Care & Transportation Services LLC Social Worker PastSince Apr 10, 2020 Accepting new patients

Organizations & group practices 2

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1235781600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 HILL ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645789",
            "telephone_number": "774-400-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 HILL ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645789",
            "telephone_number": "774-400-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYAOMOLERE",
        "first_name": "DANIEL",
        "middle_name": "ADEBOWALE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "universaltranstx",
            "affiliation": "N",
            "address_1": "3079 Hill St",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786645789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "universaltx",
            "affiliation": "N",
            "address_1": "3079 Hill St",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786645789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.