Dylan Humberto Serrano

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

214296 Issued in TX

Practice address

711 Lucas Dr
Athens, TX 75751-3445

Phone

(903) 765-8538

NPI assigned

Jun 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1144888256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 DEAN ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757512417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 LUCAS DR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513445",
            "telephone_number": "903-765-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "DYLAN",
        "middle_name": "HUMBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana J Santelli, DC
• Burton Saucier, CRNA
• Jennie Lee Schneider, FNP-C
• Troy Scott, ATC, LAT
• Stephanie Self
• Syed Asif Shah, MD
• J Elaine Shaw, MD
• Madison Leigh Sheets, PHARMD
• Melissa L Sheldon, FNP-C
• Halsey Taylor Shults, PHARMD, RPH

• Occupational Therapy Assistant in Athens, TX
• Providers in Athens, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.