Individual provider Active NPI

Dorothy Ojinnaka

  • Gerontology Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1437771995
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1082139 Issued in TX
Practice address
9304 Forest LN Ste 100
Dallas, TX 75243-6262
Phone
(214) 918-6060
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 707532 TX
Gerontology Nurse Practitioner 363LG0600X 1082139 TX Primary

Addresses

Primary practice location

9304 Forest LN Ste 100
Dallas, TX 75243-6262

Mailing address

1605 Teakwood Dr
Wylie, TX 75098-8182
Phone (908) 347-9939

Other practice location 1

1206 Providence Dr
Allen, TX 75002-5305
Phone (908) 347-9939

Other practice location 2

6363 N State Highway 161 Ste 100
Irving, TX 75038-2239
Phone (469) 200-3272

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220912001528 TX Practitioner - Nurse Practitioner 9830574821 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
707532TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Housecalls Inc CurrentSince Oct 7, 2024 Accepting new patients
Monogram Health Professional Services of Texas PLLC CurrentSince Feb 13, 2025 Accepting new patients

Locations

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

Interoperability endpoints

  • Direct secure messaging: dorothy.ojinnaka.1@22854.direct.athenahealth.com
  • Direct secure messaging: dojinnaka@landmarkhealth-direct.org

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1437771995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 TEAKWOOD DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988182",
            "telephone_number": "908-347-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 FOREST LN STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436262",
            "telephone_number": "214-918-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 Providence Dr",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750025305",
            "country_code": "US",
            "telephone_number": "908-347-9939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6363 N State Highway 161 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382239",
            "country_code": "US",
            "telephone_number": "469-200-3272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OJINNAKA",
        "first_name": "DOROTHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "707532",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1082139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.