NPIMap

Organization Active NPI

Divter G Inc

  • Urgent Care Clinic/Center
  • Pearland, TX
National Provider Identifier
1588116990
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
P7524 Issued in TX
Legal business name
DIVTER G INC
Practice address
11901 Shadow Creek Pkwy Ste 111
Pearland, TX 77584-7346
Phone
(281) 760-1971
Fax
(888) 257-3780
NPI assigned
Nov 2, 2016
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Daniel Obi-Ofodile, MDNPI 1639489628
Title
Owner
Phone
(229) 347-4693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X P7524 TX Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Nursing Facility Supplies (DME) 332BN1400X

Addresses

Primary practice location

11901 Shadow Creek Pkwy Ste 111
Pearland, TX 77584-7346

Mailing address

11901 Shadow Creek Pkwy Ste 111
Pearland, TX 77584-7346
Phone (281) 760-1971

National Provider Directory

National Provider Directory

Locations

11901 Shadow Creek Pkwy
Ste 115
Pearland, TX 77584
Phone (888) 577-2290

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1588116990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 SHADOW CREEK PKWY STE 111",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847346",
            "telephone_number": "281-760-1971",
            "fax_number": "888-257-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 SHADOW CREEK PKWY STE 111",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847346",
            "telephone_number": "281-760-1971",
            "fax_number": "888-257-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVTER G INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "OBI-OFODILE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-347-4693",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "P7524",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.