Active NPI
Edward Howard Dapo III, MSW
- School Social Worker
- Los Lunas, NM
National Provider Identifier
1336297803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 253680
- Practice address
- 119 Luna Avenue
Los Lunas, NM 87031 - Phone
- (505) 203-6614
- NPI assigned
- Jan 8, 2007
- Reactivated
- Apr 4, 2019
- Last updated
- Apr 4, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 253680 | NM | Primary |
Addresses
Primary practice location
119 Luna Avenue
Los Lunas, NM 87031
Mailing address
PO Box 1027
Los Lunas, NM 87031-1027
Phone (505) 203-6614
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 |
|---|---|---|---|
| 253680 | NM | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1336297803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1027",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870311027",
"telephone_number": "505-203-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 LUNA AVENUE",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "87031",
"telephone_number": "505-203-6614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAPO",
"first_name": "EDWARD",
"middle_name": "HOWARD",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2019-04-04",
"deactivation_date": "2007-07-17",
"reactivation_date": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "253680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.