Active NPI
Kevin Thomas Runey
- Other Specialist/Technologist
- Dallas, TX
National Provider Identifier
1033792916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Practice address
- 3100 Monticello Ave # 210
Dallas, TX 75205-3442 - Phone
- (817) 529-8514
- NPI assigned
- Apr 29, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | Primary |
Addresses
Primary practice location
3100 Monticello Ave # 210
Dallas, TX 75205-3442
Mailing address
3100 Monticello Ave # 210
Dallas, TX 75205-3442
Phone (817) 529-8514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111111111 | Other | NOT APPLICABLE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | notapplicable | Other |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1033792916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 MONTICELLO AVE # 210",
"city": "DALLAS",
"state": "TX",
"postal_code": "752053442",
"telephone_number": "817-529-8514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MONTICELLO AVE # 210",
"city": "DALLAS",
"state": "TX",
"postal_code": "752053442",
"telephone_number": "817-529-8514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNEY",
"first_name": "KEVIN",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-29",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT APPLICABLE",
"identifier": "111111111",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "notapplicable",
"affiliation": "N",
"endpointDescription": "notapplicable",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "notapplicable",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "notapplicable",
"address_1": "3100 Monticello Ave # 210",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752053442",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.