Active NPI
Oscar Padilla Rios, CNIM 3338
- Electroneurodiagnostic Specialist/Technologist
- Tyler, TX
National Provider Identifier
1508315755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 3338
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3338 | TX | MD | Other 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.