Organization Active NPI

Advanced Neurostimulation Therapies, LLC

  • Specialist
  • Dallas, TX
National Provider Identifier
1174870869
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ADVANCED NEUROSTIMULATION THERAPIES, LLC
Practice address
11970 N Central Expy
Suite 510
Dallas, TX 75243-3768
Phone
(972) 707-2800
NPI assigned
Aug 13, 2012
Last updated
Aug 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Ann Lide
Title
Office Manager / LVN
Phone
(972) 707-2814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

11970 N Central Expy
Suite 510
Dallas, TX 75243-3768

Mailing address

11970 N Central Expy
Suite 510
Dallas, TX 75243-3768
Phone (972) 707-2800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1174870869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11970 N CENTRAL EXPY",
            "address_2": "SUITE 510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433768",
            "telephone_number": "972-707-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11970 N CENTRAL EXPY",
            "address_2": "SUITE 510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433768",
            "telephone_number": "972-707-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEUROSTIMULATION THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "LIDE",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER / LVN",
        "authorized_official_telephone_number": "972-707-2814"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.