NPIMap

Organization Active NPI

Comprehensive Neurodiagnostic Services,P.a.

  • Clinical Neurophysiology Physician
  • Fayetteville, NC
National Provider Identifier
1205148590
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
COMPREHENSIVE NEURODIAGNOSTIC SERVICES,P.A.
Practice address
1830 Owen Dr
Suite 104
Fayetteville, NC 28304-1611
Phone
(910) 223-5111
Fax
(910) 229-2285
NPI assigned
Jul 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Dr. Richard Doro Serano, M.D.
Title
Owner/President
Phone
(910) 489-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

1830 Owen Dr
Suite 104
Fayetteville, NC 28304-1611

Mailing address

1830 Owen Dr
Suite 104
Fayetteville, NC 28304-1611
Phone (910) 223-5111

National Provider Directory

National Provider Directory

Locations

1830 Owen Dr
Ste 104
Fayetteville, NC 28304
Phone (910) 223-5111

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1205148590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 OWEN DR",
            "address_2": "SUITE 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041611",
            "telephone_number": "910-223-5111",
            "fax_number": "910-229-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 OWEN DR",
            "address_2": "SUITE 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041611",
            "telephone_number": "910-223-5111",
            "fax_number": "910-229-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEURODIAGNOSTIC SERVICES,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "SERANO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DORO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "910-489-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.