Active NPI
Sentinel Nerve Monitoring LLC
- Electroneurodiagnostic Specialist/Technologist
- Ft Worth, TX
National Provider Identifier
1366926867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- SENTINEL NERVE MONITORING LLC
- Practice address
- 111 Boland St Ste 211
Ft Worth, TX 76107-1265 - Phone
- (903) 259-0550
- Fax
- (903) 328-6568
- NPI assigned
- Sep 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gina M Sullivan
- Title
- Billing Manager
- Phone
- (903) 259-0550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
111 Boland St Ste 211
Ft Worth, TX 76107-1265
Mailing address
11700 Preston Rd Ste 660-536
Dallas, TX 75230-6112
National Provider Directory
National Provider DirectoryLocations
11700 Preston Rd
Ste 660536
Dallas, TX 75230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537401600000",
"number": "1366926867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11700 PRESTON RD STE 660-536",
"city": "DALLAS",
"state": "TX",
"postal_code": "752306112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BOLAND ST STE 211",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761071265",
"telephone_number": "903-259-0550",
"fax_number": "903-328-6568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENTINEL NERVE MONITORING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-20",
"last_updated": "2018-09-20",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "903-259-0550"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.