Individual provider Active NPI

Helen Kaporis, D.O.

  • Dermatology Physician
  • Mansfield, TX
National Provider Identifier
1902160708
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
N1702 Issued in TX
Practice address
2800 E Broad St
Ste 124
Mansfield, TX 76063-6409
Phone
(817) 539-0959
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X N1702 TX Primary

Addresses

Primary practice location

2800 E Broad St
Ste 124
Mansfield, TX 76063-6409

Mailing address

3699 McKinney Ave Ste 482
Dallas, TX 75204-4565
Phone (817) 539-0959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2014 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1902160708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 MCKINNEY AVE STE 482",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044565",
            "telephone_number": "817-539-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST",
            "address_2": "STE 124",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636409",
            "telephone_number": "817-539-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPORIS",
        "first_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N1702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.