NPIMap

Organization Active NPI

Axis Neuromonitoring Sa, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Richardson, TX
National Provider Identifier
1225639487
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
AXIS NEUROMONITORING SA, LLC
Practice address
1819 Jay Ell Dr Ste 100
Richardson, TX 75081-2064
Phone
(888) 344-2947
Fax
(888) 694-2947
NPI assigned
Nov 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Melissa Banes
Title
Office Manager
Phone
(469) 609-3611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

1819 Jay Ell Dr Ste 100
Richardson, TX 75081-2064

Mailing address

1819 Jay Ell Dr Ste 100
Richardson, TX 75081-2064
Phone (888) 344-2947

National Provider Directory

National Provider Directory

Locations

1819 Jay Ell Dr
Ste 100
Richardson, TX 75081

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1225639487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 JAY ELL DR STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812064",
            "telephone_number": "888-344-2947",
            "fax_number": "888-694-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 JAY ELL DR STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812064",
            "telephone_number": "888-344-2947",
            "fax_number": "888-694-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS NEUROMONITORING SA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "BANES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "469-609-3611"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "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 Nov 4, 2020; 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.