Individual provider Active NPI

Julian Robinson

  • Electroneurodiagnostic Specialist/Technologist
  • Dallas, TX
National Provider Identifier
1265982615
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
1457 Issued in TX
Practice address
3100 Monticello Ave Ste 210
Dallas, TX 75205-3442
Phone
(214) 558-9061
NPI assigned
Oct 10, 2016
Last updated
Apr 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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 1457 TX Primary

Addresses

Primary practice location

3100 Monticello Ave Ste 210
Dallas, TX 75205-3442

Mailing address

904 Hayden LN
Savannah, TX 76227-7875

Other practice location 1

6900 Dallas Pkwy
Suite 800
Plano, TX 75024-7144
Phone (214) 396-7227

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
1457TXMDElectroneurodiagnostic Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1265982615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 HAYDEN LN",
            "city": "SAVANNAH",
            "state": "TX",
            "postal_code": "762277875"
        },
        {
            "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": "214-558-9061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Dallas Pkwy",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750247144",
            "country_code": "US",
            "telephone_number": "214-396-7227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JULIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TX",
            "license": "1457",
            "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 Apr 23, 2019; 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.