Active NPI
Enock Mupoperi
- Personal Care Attendant
- Dallas, TX
National Provider Identifier
1306426341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 015732
- Practice address
- 11555 Ferguson Rd
Dallas, TX 75228-1802 - Phone
- (469) 941-4886
- Fax
- (972) 279-1370
- NPI assigned
- Apr 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 015732 | TX | Primary |
Addresses
Primary practice location
11555 Ferguson Rd
Dallas, TX 75228-1802
Mailing address
11555 Ferguson Rd
Dallas, TX 75228-1802
Phone (469) 941-4886
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
| License | State | Type | Specialty |
|---|---|---|---|
| 015732 | TX | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enock Mupoperi | Personal Care Attendant | Current | 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": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1306426341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11555 FERGUSON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752281802",
"telephone_number": "469-941-4886",
"fax_number": "972-279-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11555 FERGUSON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752281802",
"telephone_number": "469-941-4886",
"fax_number": "972-279-1370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUPOPERI",
"first_name": "ENOCK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-13",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "TX",
"license": "015732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.