Organization Active NPI

J Keith Preston MD PA

Doing business as Regional Neurosurgical Associates

  • Neurological Surgery Physician
  • Paris, TX
National Provider Identifier
1437219995
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
L5880 Issued in TX
Legal business name
J KEITH PRESTON MD PA
Doing business as
Regional Neurosurgical Associates
Practice address
4015 Lamar Ave
Paris, TX 75462-5212
Phone
(903) 784-7959
Fax
(903) 784-7969
NPI assigned
Dec 12, 2006
Organization subpart
Yes
Parent organization
J KEITH PRESTON MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Joseph Keith Preston, MD
Title
President/Physician
Phone
(903) 784-7959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X L5880 TX Primary

Addresses

Primary practice location

4015 Lamar Ave
Paris, TX 75462-5212

Mailing address

4015 Lamar Ave
Paris, TX 75462-5212
Phone (903) 784-7959

Other identifiers 1

IdentifierTypeStateIssuer
00X132OtherMEDICARE

Other names 1

  • Regional Neurosurgical Associates Doing business as

National Provider Directory

National Provider Directory
Part of
J Keith Preston MD PA

Locations

4025 Lamar Ave
Ste 110
Paris, TX 75462
Phone (903) 784-7959

1025 Deshong Dr
Paris, TX 75460
Phone (903) 785-4600

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1437219995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754625212",
            "telephone_number": "903-784-7959",
            "fax_number": "903-784-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754625212",
            "telephone_number": "903-784-7959",
            "fax_number": "903-784-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J KEITH PRESTON MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J KEITH PRESTON MD PA",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "903-784-7959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "L5880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00X132",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Neurosurgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.