Individual provider Active NPI

Marc Pieroni

  • Health Educator
  • Richardson, TX
National Provider Identifier
1356778443
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
936627 Issued in TX
Practice address
1909 N Glenville Dr Ste 106
Richardson, TX 75081-1992
Phone
(972) 480-0109
Fax
(972) 480-8099
NPI assigned
Oct 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 936627 TX Primary

Addresses

Primary practice location

1909 N Glenville Dr Ste 106
Richardson, TX 75081-1992

Mailing address

1909 N Glenville Dr Ste 106
Richardson, TX 75081-1992
Phone (972) 480-0109

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
936627TXMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Big Benefit Corp Past Accepting new patients

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": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1356778443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 N GLENVILLE DR STE 106",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811992",
            "telephone_number": "972-480-0109",
            "fax_number": "972-480-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N GLENVILLE DR STE 106",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811992",
            "telephone_number": "972-480-0109",
            "fax_number": "972-480-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERONI",
        "first_name": "MARC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "TX",
            "license": "936627",
            "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 Oct 3, 2013; 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.