Individual provider Active NPI

Dariush Alirezaieyan

  • EEG Specialist/Technologist
  • Arlington, TX
National Provider Identifier
1073936993
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG Specialist/TechnologistTaxonomy code 246ZE0500X
License
17524777897 Issued in TX
Practice address
6601 Johns CRT
Arlington, TX 76016
Phone
(817) 561-4542
Fax
(817) 483-4068
NPI assigned
Jan 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Specialist/Technologist 246ZE0500X 17524777897 TX Primary

Addresses

Primary practice location

6601 Johns CRT
Arlington, TX 76016

Mailing address

6601 Johns CT
Arlington, TX 76016-3632
Phone (817) 561-4542

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

State licenses

LicenseStateTypeSpecialty
17524777897TXMDEEG Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Eeg Testing Inc Current Accepting new patients
Neuro Medical Equipment, Inc. Past Accepting new patients

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": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1073936993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 JOHNS CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163632",
            "telephone_number": "817-561-4542",
            "fax_number": "817-483-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 JOHNS CRT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76016",
            "telephone_number": "817-561-4542",
            "fax_number": "817-483-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIREZAIEYAN",
        "first_name": "DARIUSH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "TX",
            "license": "17524777897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.