Damian Irabor, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP129064 Issued in TX

Practice address

2707 Bolton Boone Dr Ste 102
Desoto, TX 75115-2077

Phone

(468) 530-4990

NPI assigned

Sep 21, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: damian.irabor.1@13711.direct.athenahealth.com

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.

• My Care on Demand LLC

  • Family Medicine Physician
  • Desoto, TX
  • NPI 1255950002

  Nurse Practitioner

  Medicare reassignment NPD Authorized official
• Total Point - Desoto LLC

  • Family Medicine Physician
  • Lindale, TX
  • NPI 1104590330
  Medicare reassignment NPD
• Vpa of Texas PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1679510499
  Medicare reassignment NPD
• Vpa of Texas PLLC

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1578175865
  NPD

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1285003236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BOLTON BOONE DR STE 102",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152077",
            "telephone_number": "468-530-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 BOLTON BOONE DR STE 102",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152077",
            "telephone_number": "468-530-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRABOR",
        "first_name": "DAMIAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-21",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP129064",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "damian.irabor.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "2401 W Ledbetter Dr # 120",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752334015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Integhearty Ambulance Services
• Intellipsych, PLLC
• Interhealth, Inc
• Internal Medicine & Industrial Medicine Clinic P.a.
• Husna Iqbal
• Irc Diagnostics
• Alana Irvin, RD
• Christopher Giles Irwin, M.D.
• Ghadir Abdelhadi Issa, M.D.
• Tesneem Issa, DO

• Family Nurse Practitioner in Desoto, TX
• Providers in Desoto, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.