Individual provider Active NPI

Richard S Pinon, ATP

  • Other Technician
  • Bryan, TX
National Provider Identifier
1174897383
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
ATP50139 Issued in TX
Practice address
1908 Greenfield PLZ
Bryan, TX 77802-3410
Phone
(979) 268-6882
Fax
(979) 260-3900
NPI assigned
Mar 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X ATP50139 TX Primary

Addresses

Primary practice location

1908 Greenfield PLZ
Bryan, TX 77802-3410

Mailing address

1908 Greenfield PLZ
Bryan, TX 77802-3410
Phone (979) 268-6882

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
ATP50139TXMDOther Technician

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1174897383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 GREENFIELD PLZ",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023410",
            "telephone_number": "979-268-6882",
            "fax_number": "979-260-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 GREENFIELD PLZ",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023410",
            "telephone_number": "979-268-6882",
            "fax_number": "979-260-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINON",
        "first_name": "RICHARD",
        "middle_name": "S",
        "credential": "ATP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "ATP50139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.