Active NPI
Abiola Ilemobola Dada-Lajumoke
- Customized Equipment (DME)
- Grand Prairie, TX
National Provider Identifier
1811178171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 0100062
- Practice address
- 2304 Oak LN
Suite 224, Parc Oak Plaza
Grand Prairie, TX 75051-8812 - Phone
- (972) 263-3808
- Fax
- (214) 988-1049
- NPI assigned
- Nov 15, 2007
- Last updated
- Nov 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 0100062 | TX | Primary |
Addresses
Primary practice location
2304 Oak LN
Suite 224, Parc Oak Plaza
Grand Prairie, TX 75051-8812
Mailing address
2304 Oak LN
Suite 224, Parc Oak Plaza
Grand Prairie, TX 75051-8812
Phone (972) 263-3808
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0100062 | TX | MD | Customized Equipment (DME) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1811178171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2304 OAK LN",
"address_2": "SUITE 224, PARC OAK PLAZA",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750518812",
"telephone_number": "972-263-3808",
"fax_number": "214-988-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 OAK LN",
"address_2": "SUITE 224, PARC OAK PLAZA",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750518812",
"telephone_number": "972-263-3808",
"fax_number": "214-988-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADA-LAJUMOKE",
"first_name": "ABIOLA",
"middle_name": "ILEMOBOLA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "TX",
"license": "0100062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
- CVS Pharmacy Inc (CVS Pharmacy # 06775)
- CVS Pharmacy Inc (CVS Pharmacy#07809)
- CVS Pharmacy, Inc. (CVS Pharmacy #08345)
- D&D Residential Services Inc
- Dacy Healthcare LLC
- Peter Edward Dadson, DR
- Kathy A Daigle, L.AC.
- Dallas County Hospital District (E. Carlyle Smith, Jr. Health Center)
- Dallas County Hospital District (E. Carlyle Smith, Jr. Women's Health Center)
- Dallas County Hospital District (Grand Prairie Women's Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.