Active NPI
Cameron Spencer, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Addison, TX
National Provider Identifier
1184250334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 4563
- Practice address
- 5080 Spectrum Dr
Ste 1100
Addison, TX 75001-4648 - Phone
- (844) 676-9374
- NPI assigned
- Mar 19, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 4563 | Primary |
Addresses
Primary practice location
5080 Spectrum Dr
Ste 1100
Addison, TX 75001-4648
Mailing address
5080 Spectrum Dr
Ste 1100
Addison, TX 75001-4648
Phone (844) 676-9374
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1184250334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 SPECTRUM DR",
"address_2": "STE 1100",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014648",
"telephone_number": "844-676-9374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5080 SPECTRUM DR",
"address_2": "STE 1100",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014648",
"telephone_number": "844-676-9374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "CAMERON",
"credential": "CNIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-19",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": "4563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.