Active NPI
Nexus Diagnostics LLC
- Electroneurodiagnostic Specialist/Technologist
- Fort Worth, TX
National Provider Identifier
1083019095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- NEXUS DIAGNOSTICS LLC
- Practice address
- 964 Jockey Club LN
Fort Worth, TX 76179-2358 - Phone
- (972) 249-6087
- NPI assigned
- Nov 3, 2014
- 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
- Robert Peretti
- Title
- Ceo
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
964 Jockey Club LN
Fort Worth, TX 76179-2358
Mailing address
PO Box 141521
Irving, TX 75014-1521
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Irving, TX
- NPI 1578501557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414972800000",
"number": "1083019095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 141521",
"city": "IRVING",
"state": "TX",
"postal_code": "750141521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "964 JOCKEY CLUB LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761792358",
"telephone_number": "972-249-6087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXUS DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-03",
"last_updated": "2014-11-03",
"status": "A",
"authorized_official_last_name": "PERETTI",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "972-249-6087"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.