Individual provider Active NPI

Dorcas Adeniran, PMHNP-BC, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1831614965
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP134695 Issued in TX
Practice address
2321 S Belt Line Rd Ste 142
Grand Prairie, TX 75051-4197
Phone
(214) 878-2143
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP134695 TX
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP134695 TX Primary

Addresses

Primary practice location

2321 S Belt Line Rd Ste 142
Grand Prairie, TX 75051-4197

Mailing address

2321 S Belt Line Rd Ste 142
Grand Prairie, TX 75051-4197
Phone (214) 878-2143

Other practice location 1

1740 W Virginia St # 100
McKinney, TX 75069-7864
Phone (214) 878-2143

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
I20171019000452 TX Practitioner - Nurse Practitioner 7113293143 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134695TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Child & Adolescent Psychiatric Services PA Multi-Specialty CurrentSince May 17, 2021 Accepting new patients
Goto Lab Express Texas LLC Past Accepting new patients

Locations

2140 N Lake Forest Dr
#104
McKinney, TX 75071
Phone (469) 747-1010

5501 Independence Pkwy
Ste 302
Plano, TX 75023
Phone (469) 747-1010

Interoperability endpoints

  • Direct secure messaging: dadeniran@landmarkhealth-direct.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1831614965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 S BELT LINE RD STE 142",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514197",
            "telephone_number": "214-878-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 S BELT LINE RD STE 142",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514197",
            "telephone_number": "214-878-2143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Virginia St # 100",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750697864",
            "country_code": "US",
            "telephone_number": "214-878-2143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADENIRAN",
        "first_name": "DORCAS",
        "credential": "PMHNP-BC, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134695",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP134695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.