NPIMap

Organization Active NPI

Revolution Neuromonitoring, LLC

  • Neurology Physician
  • Irving, TX
National Provider Identifier
1538515630
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
REVOLUTION NEUROMONITORING, LLC
Practice address
5005 W Royal LN
Suite 196
Irving, TX 75063-1996
Phone
(817) 485-5100
NPI assigned
May 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Authorized official

Name
Charles Neff
Title
Director
Phone
(817) 485-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

5005 W Royal LN
Suite 196
Irving, TX 75063-1996

Mailing address

5005 W Royal LN
Suite 196
Irving, TX 75063-1996
Phone (817) 485-5100

National Provider Directory

National Provider Directory
Tax ID family
Revolution Neuromonitoring LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1538515630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 W ROYAL LN",
            "address_2": "SUITE 196",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750631996",
            "telephone_number": "817-485-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 W ROYAL LN",
            "address_2": "SUITE 196",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750631996",
            "telephone_number": "817-485-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION NEUROMONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "NEFF",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-485-5100"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.