Organization Active NPI

Jjdnm, PLLC

  • Clinical Neurophysiology Physician
  • San Antonio, TX
National Provider Identifier
1154651123
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
JJDNM, PLLC
Practice address
8403 State Highway 151
Ste 104 #358
San Antonio, TX 78245
Phone
(210) 714-5515
NPI assigned
Jan 13, 2010
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Alissa Fisher
Title
Enrollment Compliance Officer
Phone
(210) 598-4240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X NU Primary

Addresses

Primary practice location

8403 State Highway 151
Ste 104 #358
San Antonio, TX 78245

Mailing address

8403 State Highway 151
Ste 104 #358
San Antonio, TX 78245
Phone (210) 714-5515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1154651123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 STATE HIGHWAY 151",
            "address_2": "STE 104 #358",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78245",
            "telephone_number": "210-714-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 STATE HIGHWAY 151",
            "address_2": "STE 104 #358",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78245",
            "telephone_number": "210-714-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJDNM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_title_or_position": "ENROLLMENT COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "210-598-4240"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.