Individual provider Active NPI

Theodore Thomas Nafius, CST

  • Surgical Assistant
  • Austin, TX
National Provider Identifier
1144646514
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
206894 Issued in TX
Practice address
14808 Endicott Dr
Austin, TX 78728-4412
Phone
(512) 590-9446
NPI assigned
Mar 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 120700 CA
Surgical Assistant 246ZC0007X 206894 TX Primary

Addresses

Primary practice location

14808 Endicott Dr
Austin, TX 78728-4412

Mailing address

14808 Endicott Dr
Austin, TX 78728-4412
Phone (512) 590-9446

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
206894TXMDSurgical Assistant
120700CAMDSurgical Technologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1144646514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14808 ENDICOTT DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787284412",
            "telephone_number": "512-590-9446",
            "fax_number": "512-458-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14808 ENDICOTT DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787284412",
            "telephone_number": "512-590-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFIUS",
        "first_name": "THEODORE",
        "middle_name": "THOMAS",
        "credential": "CST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-10",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "CA",
            "license": "120700",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "206894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.