Active NPI
Dwayne Mack
- Personal Care Attendant
- Midland, TX
National Provider Identifier
1710441860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 1912 N Jackson St
Midland, TX 79705-7823 - Phone
- (432) 260-2963
- NPI assigned
- Jan 23, 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
1912 N Jackson St
Midland, TX 79705-7823
Mailing address
1912 N Jackson St
Midland, TX 79705-7823
Phone (432) 260-2963
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1710441860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 N JACKSON ST",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797057823",
"telephone_number": "432-260-2963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 N JACKSON ST",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797057823",
"telephone_number": "432-260-2963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "DWAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
- Luxottica Retail North America Inc (Sears Optical #C0230)
- Lyden C Odukwu MD PA (Midland Family Care)
- Dominique Yvette Lydia, R.N
- Wendi Michelle Lyle, RN
- Rachel Lynch, M.S., CCC-SLP
- Paula Shantel Alexis Mackey, PSY.D.
- Travis Leonard Maclin III, PA-S
- Gary D Madden, M.D.
- Emily Maddox, CPHT
- Candace D Mahaffey, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.