Individual provider Active NPI

Samira Naim, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Dallas, TX
National Provider Identifier
1205228293
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
2495 Issued in TX
Practice address
3100 Monticello Ave Ste 210
Dallas, TX 75205-3442
Phone
(214) 315-6432
NPI assigned
Feb 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 2495 TX Primary

Addresses

Primary practice location

3100 Monticello Ave Ste 210
Dallas, TX 75205-3442

Mailing address

8032 Brook Ridge Dr
Fort Worth, TX 76120-2620
Phone (469) 667-3649

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
2495TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1205228293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8032 BROOK RIDGE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202620",
            "telephone_number": "469-667-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MONTICELLO AVE STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053442",
            "telephone_number": "214-315-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIM",
        "first_name": "SAMIRA",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TX",
            "license": "2495",
            "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 Feb 27, 2015; 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.