Individual provider Active NPI

Dora Iyare Nomamiukor, NPN-C

  • Family Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1770530487
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
600832 Issued in TX
Practice address
7670 Bennett Lawson Rd
Mansfield, TX 76063-4605
Phone
(817) 473-7819
NPI assigned
May 28, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 600832 TX Primary

Addresses

Primary practice location

7670 Bennett Lawson Rd
Mansfield, TX 76063-4605

Mailing address

2104 Post Wood LN
Arlington, TX 76018-3138
Phone (817) 467-5004

Other names 1

  • Miss Dora Iyare Eboigbe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130529000821 TX Order and Referring Only - Nurse Practitioner 4183534324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770530487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 POST WOOD LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760183138",
            "telephone_number": "817-467-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7670 BENNETT LAWSON RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634605",
            "telephone_number": "817-473-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOMAMIUKOR",
        "first_name": "DORA",
        "middle_name": "IYARE",
        "name_prefix": "Mrs.",
        "credential": "NPN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "600832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORA",
            "last_name": "EBOIGBE",
            "middle_name": "IYARE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.