Individual provider Active NPI

Ernesto Augusto Nunez Muniz, M.D.

  • Pediatrics Physician
  • Mesquite, TX
National Provider Identifier
1356375562
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K3364 Issued in TX
Practice address
3230 Interstate 30 Ste 100
Mesquite, TX 75150-2662
Phone
(972) 682-1791
Fax
(972) 698-7641
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K3364 TX Primary

Addresses

Primary practice location

3230 Interstate 30 Ste 100
Mesquite, TX 75150-2662

Mailing address

7047 Elmridge Dr
Dallas, TX 75240-3617
Phone (214) 202-0848

Other identifiers 1

IdentifierTypeStateIssuer
121407405MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pedcare, PA Pediatrics Past Accepting new patients
Epione, PA Pediatrics Past Accepting new patients
Open Arms Healthcare of Texas Inc. Past Accepting new patients
Pedcare, PA Pediatrics Past Accepting new patients

Organizations & group practices 4

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1356375562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 ELMRIDGE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752403617",
            "telephone_number": "214-202-0848",
            "fax_number": "972-698-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 INTERSTATE 30 STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502662",
            "telephone_number": "972-682-1791",
            "fax_number": "972-698-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ MUNIZ",
        "first_name": "ERNESTO",
        "middle_name": "AUGUSTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K3364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121407405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.