Individual provider Active NPI

Oluyemisi A Popoola

  • Durable Medical Equipment & Medical Supplies
  • Desoto, TX
National Provider Identifier
1386893246
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0106068 Issued in TX
Practice address
104 Lion St Ste B
Desoto, TX 75115-5071
Phone
(972) 274-9010
Fax
(972) 274-9086
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0106068 TX Primary

Addresses

Primary practice location

104 Lion St Ste B
Desoto, TX 75115-5071

Mailing address

104 Lion St Ste B
Desoto, TX 75115-5071
Phone (972) 274-9010

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
0106068TXMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Bethel Home Care Services Past Accepting new patients
Yemisi a Popoola Durable Medical Equipment & Medical Supplies Past 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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1386893246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LION ST STE B",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155071",
            "telephone_number": "972-274-9010",
            "fax_number": "972-274-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LION ST STE B",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155071",
            "telephone_number": "972-274-9010",
            "fax_number": "972-274-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOOLA",
        "first_name": "OLUYEMISI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0106068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.