Active NPI
James Monroe Dieter III, D.C., N.P.-C
- Family Nurse Practitioner
- Pasadena, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 776968
- Practice address
- 5010 Crenshaw Rd
Suite 130
Pasadena, TX 77505-3097 - Phone
- (281) 991-2200
- Fax
- (281) 991-7700
- NPI assigned
- Aug 8, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 11230 | TX | |
| Family Nurse Practitioner | 363LF0000X | 776968 | TX | Primary |
Addresses
Primary practice location
5010 Crenshaw Rd
Suite 130
Pasadena, TX 77505-3097
Mailing address
5010 Crenshaw Rd
Suite 130
Pasadena, TX 77505-3097
Phone (281) 991-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120201000332 | TX | Practitioner - Nurse Practitioner | 1759429269 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11230 | TX | MD | General Practice Dentistry |
| 776968 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Pain Specialists, PLLC | Current | Accepting new patients | |
| Interventional Pain Specialists, PLLC | Current | Accepting new patients | |
| Principlemed Anesthesia, PLLC | Current | Accepting new patients | |
| Aurum Toxicology LLC | Past | Accepting new patients | |
| Argentum Toxicology LLC | Past | Accepting new patients |
Locations
1021 61st St
Ste 200
Galveston, TX 77551
Phone (409) 740-6800
16840 Buccaneer Ln
Ste J
Houston, TX 77058
Phone (832) 932-5968
16840 Buccaneer Ln
Ste 202
Houston, TX 77058
5010 Crenshaw Rd
Ste 130
Pasadena, TX 77505
Phone (713) 299-7374
6243 Fairmont Pkwy
Ste 200
Pasadena, TX 77505
Phone (281) 241-6130
7111 Medical Center Dr
Ste 100
Texas City, TX 77591
Phone (832) 738-1836
Organizations & group practices 5
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.
-
- Interventional Pain Medicine Physician
- Houston, TX
- NPI 1407358641
-
- Anesthesiology Physician
- Pasadena, TX
- NPI 1518599943
-
- Clinical Medical Laboratory
- Webster, TX
- NPI 1346669793
-
- Clinical Medical Laboratory
- Webster, TX
- NPI 1477972883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1114159142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 CRENSHAW RD",
"address_2": "SUITE 130",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053097",
"telephone_number": "281-991-2200",
"fax_number": "281-991-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 CRENSHAW RD",
"address_2": "SUITE 130",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053097",
"telephone_number": "281-991-2200",
"fax_number": "281-991-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETER",
"first_name": "JAMES",
"middle_name": "MONROE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C., N.P.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-08",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "TX",
"license": "11230",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "776968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.