Individual provider Active NPI

Denis Verville, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Scottsdale, AZ
National Provider Identifier
1306565445
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
3259
Practice address
8655 E Via de Ventura
Ste E-155
Scottsdale, AZ 85258-3354
Phone
(480) 596-1686
Fax
(480) 483-8455
NPI assigned
Aug 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 3259 Primary

Addresses

Primary practice location

8655 E Via de Ventura
Ste E-155
Scottsdale, AZ 85258-3354

Mailing address

8655 E Via de Ventura Ste E155
Scottsdale, AZ 85258-3354
Phone (480) 596-1686

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL DVERVILLE@STSIOM.COM Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sensory Testing Systems, LLC Electroneurodiagnostic CurrentSince Mar 3, 2024 Accepting new patients

Locations

8655 E Via de Ventura
Ste E155
Scottsdale, AZ 85258
Phone (480) 247-3747

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1306565445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8655 E VIA DE VENTURA STE E155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583354",
            "telephone_number": "480-596-1686",
            "fax_number": "480-483-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8655 E VIA DE VENTURA",
            "address_2": "STE E-155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583354",
            "telephone_number": "480-596-1686",
            "fax_number": "480-483-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERVILLE",
        "first_name": "DENIS",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": "3259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DVERVILLE@STSIOM.COM",
            "affiliation": "N",
            "endpointDescription": "BUSINESS EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8655 E Via De Ventura Ste E155",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852583354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.