Revolution Monitoring Management, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

REVOLUTION MONITORING MANAGEMENT, LLC

Practice address

4925 Greenville Ave #200
Dallas, TX 75206

Phone

(844) 663-2229

Fax

(469) 385-8892

NPI assigned

Jul 11, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeremiah Titus Vance, CNIM

Title

President/Ceo

Phone

(214) 228-1257

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215389655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE #200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75206",
            "telephone_number": "844-663-2229",
            "fax_number": "469-385-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE #200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75206",
            "telephone_number": "844-663-2229",
            "fax_number": "469-385-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION MONITORING MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "TITUS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "214-228-1257",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revive to Thrive Wellness Center, PLLC
• Revive Whole Life Solutions LLC
• Revivify Revenue Cycle Consulting LLC
• Revivo Medical PA
• Revolution Monitoring
• Revolution Neuromonitoring, LLC
• Mollie Rew
• David Austin Rex, CRNA
• Shari L Rex, CRNA
• Jesus Rey II, M.D.

• Neurology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.