Active NPI
Gregory Balogun
- Home Health Aide
- Dallas, TX
National Provider Identifier
1760967541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 10990 Switzer Ave Ste 301
Dallas, TX 75238-1363 - Phone
- (214) 221-0277
- Fax
- (214) 221-0858
- NPI assigned
- Sep 27, 2018
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
10990 Switzer Ave Ste 301
Dallas, TX 75238-1363
Mailing address
10990 Switzer Ave Ste 301
Dallas, TX 75238-1363
Phone (214) 221-0277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463819088 | Other | TX | PERSONAL ASSISTANCE SERVICE |
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": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1760967541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10990 SWITZER AVE STE 301",
"city": "DALLAS",
"state": "TX",
"postal_code": "752381363",
"telephone_number": "214-221-0277",
"fax_number": "214-221-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10990 SWITZER AVE STE 301",
"city": "DALLAS",
"state": "TX",
"postal_code": "752381363",
"telephone_number": "214-221-0277",
"fax_number": "214-221-0858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALOGUN",
"first_name": "GREGORY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-27",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL ASSISTANCE SERVICE",
"identifier": "463819088",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.