Active NPI
Jason R Ehrhardt, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Richardson, TX
National Provider Identifier
1184935975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 1235
- Practice address
- 3400 Waterview Pkwy Ste 305
Richardson, TX 75080-1472 - Phone
- (214) 295-6703
- Fax
- (214) 245-5267
- NPI assigned
- Jun 25, 2010
- 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 | 1235 | TX | Primary |
Addresses
Primary practice location
3400 Waterview Pkwy Ste 305
Richardson, TX 75080-1472
Mailing address
3400 Waterview Parkway
Suite 305
Richardson, TX 75080
Phone (214) 295-6703
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1235 | TX | MD | Electroneurodiagnostic Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505779200000",
"number": "1184935975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 WATERVIEW PARKWAY",
"address_2": "SUITE 305",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75080",
"telephone_number": "214-295-6703",
"fax_number": "214-245-5267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 WATERVIEW PKWY STE 305",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750801472",
"telephone_number": "214-295-6703",
"fax_number": "214-245-5267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRHARDT",
"first_name": "JASON",
"middle_name": "R",
"credential": "CNIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2017-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "TX",
"license": "1235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.