Organization Active NPI

Omni Neuro Diagnostics

Doing business as Omni Medical

  • Electroneurodiagnostic Specialist/Technologist
  • McKinney, TX
National Provider Identifier
1417497025
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
OMNI NEURO DIAGNOSTICS
Doing business as
Omni Medical
Practice address
3900 S Stonebridge Dr.
Suite 1501
McKinney, TX 75070
Phone
(214) 396-7227
Fax
(469) 453-3192
NPI assigned
Mar 1, 2017
Last updated
Mar 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
Mr. Nicholas Kobakof
Title
President
Phone
(214) 396-7227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Primary

Addresses

Primary practice location

3900 S Stonebridge Dr.
Suite 1501
McKinney, TX 75070

Mailing address

3900 S Stonebridge Dr.
Suite 1501
McKinney, TX 75070
Phone (214) 396-7227

Other names 1

  • Omni Medical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1417497025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S STONEBRIDGE DR.",
            "address_2": "SUITE 1501",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "214-396-7227",
            "fax_number": "469-453-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 S STONEBRIDGE DR.",
            "address_2": "SUITE 1501",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "214-396-7227",
            "fax_number": "469-453-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI NEURO DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "KOBAKOF",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-396-7227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.