NPIMap

Organization Active NPI

Cynthia Fuentes Lsa, LLC

  • Surgical Technologist
  • Dallas, TX
National Provider Identifier
1487905659
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
SA00072 Issued in TX
Legal business name
CYNTHIA FUENTES LSA, LLC
Practice address
10015 Heritage PL
Dallas, TX 75217-7771
Phone
(469) 231-5309
Fax
(972) 913-0544
NPI assigned
Sep 27, 2012
Last updated
Sep 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Cynthia Fuentes, LSANPI 1396789707
Title
Licensed Surgical Assistant
Phone
(469) 231-5309

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
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X SA00072 TX Primary

Addresses

Primary practice location

10015 Heritage PL
Dallas, TX 75217-7771

Mailing address

PO Box 156
Waxahachie, TX 75168-0156
Phone (469) 231-5309

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": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1487905659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751680156",
            "telephone_number": "469-231-5309",
            "fax_number": "972-913-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 HERITAGE PL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752177771",
            "telephone_number": "469-231-5309",
            "fax_number": "972-913-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA FUENTES LSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "LICENSED SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "469-231-5309",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA00072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.