NPIMap

Individual provider Active NPI

Dante Enriquez

  • Laboratory Management Specialist/Technologist
  • Mesquite, TX
National Provider Identifier
1104246537
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X
License
45D1014980 Issued in TX
Practice address
2944 Motley Dr
Suite 105
Mesquite, TX 75150-3460
Phone
(972) 613-5793
Fax
(972) 613-7236
NPI assigned
Apr 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Laboratory Management Specialist/Technologist 246QL0900X 45D1014980 TX Primary

Addresses

Primary practice location

2944 Motley Dr
Suite 105
Mesquite, TX 75150-3460

Mailing address

2944 Motley Dr
Suite 105
Mesquite, TX 75150-3460
Phone (972) 613-5793

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
45D1014980TXMDLaboratory Management Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Enriquez Group, Inc. Past Accepting new patients
HM Central Lab, LLC 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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1104246537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 MOTLEY DR",
            "address_2": "SUITE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503460",
            "telephone_number": "972-613-5793",
            "fax_number": "972-613-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 MOTLEY DR",
            "address_2": "SUITE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503460",
            "telephone_number": "972-613-5793",
            "fax_number": "972-613-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "DANTE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": "TX",
            "license": "45D1014980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.