James Dylan Enoch, CSCS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

5803 Portal Dr
Houston, TX 77096-6012

Phone

(713) 444-8659

NPI assigned

Apr 30, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1770166407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 PORTAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770966012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 PORTAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770966012",
            "telephone_number": "713-444-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOCH",
        "first_name": "JAMES",
        "middle_name": "DYLAN",
        "name_prefix": "Mr.",
        "credential": "CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdenoch2@uh.edu",
            "affiliation": "Y",
            "affiliationName": "University of Houston",
            "address_1": "4505 Cullen",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marisa Anne Ennis
• Michael Ennis, D.C.
• Youness Ennouri, PHARMD
• Theron Andrew Enns, ATC
• Alexandria Rene Enoch, FNP
• Gabrielle Enoh
• Enova DME LLC
• Enovate Sportsmed LLC
• Roget Agbor Enow
• Enpowering Hope Community Services LLC

• Student in an Organized Health Care Education/Training Program in Houston, TX
• Providers in Houston, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.