Active NPI
Integris Neuro LLC
- Physiological Laboratory
- Highland Village, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- INTEGRIS NEURO LLC
- Practice address
- 2012 Justin Rd Ste 200-H
Highland Village, TX 75077-7193 - Phone
- (877) 944-2111
- Fax
- (877) 492-1768
- NPI assigned
- Mar 21, 2019
- Last updated
- Jan 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Charles Estes
- Title
- Owner
- Phone
- (877) 944-2111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | NU | Primary |
Addresses
Primary practice location
2012 Justin Rd Ste 200-H
Highland Village, TX 75077-7193
Mailing address
2012 Justin Rd Ste 200-H
Highland Village, TX 75077-7193
Phone (877) 944-2111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sestes@integrisneuro.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190507002306 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3577805852 | Practice locations: Highland Village, TX |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- EEG Specialist/Technologist
- Highland Village, TX
- NPI 1508885484
-
- Neurology Physician
- Carrollton, TX
- NPI 1306156401
-
- Neurology with Special Qualifications in Child Neurology Physician
- Plano, TX
- NPI 1144647264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579392000000",
"number": "1043770621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 JUSTIN RD STE 200-H",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750777193",
"telephone_number": "877-944-2111",
"fax_number": "877-492-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 JUSTIN RD STE 200-H",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750777193",
"telephone_number": "877-944-2111",
"fax_number": "877-492-1768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRIS NEURO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-21",
"last_updated": "2020-01-19",
"certification_date": "2020-01-19",
"status": "A",
"authorized_official_last_name": "ESTES",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "877-944-2111"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sestes@integrisneuro.com",
"affiliation": "N",
"endpointDescription": "Business Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2012 Justin Rd Ste 200-H",
"city": "Highland Village",
"state": "TX",
"country_code": "US",
"postal_code": "750777193",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Highland Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.