Organization Active NPI

Illusions by Ink, LLC

  • Other Specialist/Technologist
  • Irving, TX
National Provider Identifier
1336956820
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
ILLUSIONS BY INK, LLC
Practice address
4835 N O'Connor Road
120
Irving, TX 75062
Phone
(916) 912-3958
NPI assigned
Dec 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Delia Bermea Castillo, OTHER
Title
Owner
Phone
(916) 912-3958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

4835 N O'Connor Road
120
Irving, TX 75062

Mailing address

4835 N O'Connor Road
120
Irving, TX 75062
Phone (916) 912-3958

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1336956820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 N O'CONNOR ROAD",
            "address_2": "120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "916-912-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 N O'CONNOR ROAD",
            "address_2": "120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "916-912-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUSIONS BY INK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "DELIA",
        "authorized_official_middle_name": "BERMEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-912-3958",
        "authorized_official_credential": "OTHER"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.