NPIMap

Organization Active NPI

Ridgelea Neuromonitoring

  • Other Specialist/Technologist
  • Addison, TX
National Provider Identifier
1437817541
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
RIDGELEA NEUROMONITORING
Practice address
16633 Dallas Pkwy Ste 125
Addison, TX 75001-6816
Phone
(214) 666-8386
Fax
(214) 666-8386
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Mr. Breck BecknerNPI 1275291379
Title
Owner
Phone
(682) 717-5802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

16633 Dallas Pkwy Ste 125
Addison, TX 75001-6816

Mailing address

PO Box 703231
Dallas, TX 75370-3231
Phone (682) 717-5802

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": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1437817541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703231",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753703231",
            "telephone_number": "682-717-5802",
            "fax_number": "214-666-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 DALLAS PKWY STE 125",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016816",
            "telephone_number": "214-666-8386",
            "fax_number": "214-666-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGELEA NEUROMONITORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "BECKNER",
        "authorized_official_first_name": "BRECK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-717-5802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.