NPIMap

Organization Active NPI

Adonai Family Health Center L.L.C.

  • Medical Specialty Clinic/Center
  • Lewisville, TX
National Provider Identifier
1689892374
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
K1890 Issued in TX
Legal business name
ADONAI FAMILY HEALTH CENTER L.L.C.
Practice address
1118 W Main St
Lewisville, TX 75067-3426
Phone
(972) 956-5558
Fax
(972) 956-0578
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Catherine Eno Okpon-Onabajo, M.DNPI 1003871658
Title
President and Ceo
Phone
(972) 956-5558

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X K1890 TX Primary

Addresses

Primary practice location

1118 W Main St
Lewisville, TX 75067-3426

Mailing address

1118 W Main St
Lewisville, TX 75067-3426
Phone (972) 956-5558

Other identifiers 3

IdentifierTypeStateIssuer
176341901MedicaidTX
176341902MedicaidTX
0076MWOtherTXBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

403 W Main St
Ste B
Lewisville, TX 75057
Phone (972) 436-1811

1118 W Main St
Lewisville, TX 75067
Phone (972) 956-5558

1140 W Main St
Lewisville, TX 75067
Phone (972) 956-5558

Practitioners & affiliated clinicians

Practitioners 9

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1689892374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673426",
            "telephone_number": "972-956-5558",
            "fax_number": "972-956-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673426",
            "telephone_number": "972-956-5558",
            "fax_number": "972-956-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADONAI FAMILY HEALTH CENTER L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "OKPON-ONABAJO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ENO",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "972-956-5558",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "K1890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176341901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176341902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0076MW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.