Individual provider Active NPI

Oscar Padilla Rios, CNIM 3338

  • Electroneurodiagnostic Specialist/Technologist
  • Tyler, TX
National Provider Identifier
1508315755
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
3338 Issued in TX
Practice address
1356 Old Creek Dr
Tyler, TX 75703-7642
Phone
(903) 534-0809
Fax
(903) 939-9149
NPI assigned
Sep 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 3338 TX Primary

Addresses

Primary practice location

1356 Old Creek Dr
Tyler, TX 75703-7642

Mailing address

1356 Old Creek Dr
Tyler, TX 75703-7642
Phone (903) 534-0809

Other practice location 1

6900 Dallas Pkwy
Suite 800
Plano, TX 75024-7144
Phone (214) 396-7227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3338TXMDOther Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1508315755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 OLD CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037642",
            "telephone_number": "903-534-0809",
            "fax_number": "903-939-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 OLD CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037642",
            "telephone_number": "903-534-0809",
            "fax_number": "903-939-9149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Dallas Pkwy",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750247144",
            "country_code": "US",
            "telephone_number": "214-396-7227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA RIOS",
        "first_name": "OSCAR",
        "credential": "CNIM 3338",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-29",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TX",
            "license": "3338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.