NPIMap

Organization Active NPI

Nexus Medical Diagnostics L.L.C.

  • Chiropractor
  • Irving, TX
National Provider Identifier
1003835687
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8911 Issued in TX
Legal business name
NEXUS MEDICAL DIAGNOSTICS L.L.C.
Practice address
330 Las Colinas Blvd E
Suite 422
Irving, TX 75039
Phone
(972) 249-6087
Fax
(972) 409-2988
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Authorized official

Name
Dr. Robert F. Peretti, D.C.NPI 1578501557
Title
Owner
Phone
(972) 249-6087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8911 TX Primary

Addresses

Primary practice location

330 Las Colinas Blvd E
Suite 422
Irving, TX 75039

Mailing address

P.O. Box 141521
Irving, TX 75014-1521
Phone (972) 249-6087

Other identifiers 1

IdentifierTypeStateIssuer
50NTOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Nexus Medical Diagnostics L.L.C. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1003835687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 141521",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750141521",
            "telephone_number": "972-249-6087",
            "fax_number": "972-409-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAS COLINAS BLVD E",
            "address_2": "SUITE 422",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75039",
            "telephone_number": "972-249-6087",
            "fax_number": "972-409-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS MEDICAL DIAGNOSTICS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "PERETTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-249-6087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50NT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nexus Medical Diagnostics L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.