Individual provider Active NPI

Daniel Fernandez

  • Massage Therapist
  • San Antonio, TX
National Provider Identifier
1629418686
Registry record updated Sep 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT119934 Issued in TX
Practice address
21708 Hardy Oak Blvd Ste 101
San Antonio, TX 78258
Phone
(210) 660-7455
NPI assigned
Jul 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NVMT.5365 NV
Massage Therapist 225700000X MT119934 TX Primary

Addresses

Primary practice location

21708 Hardy Oak Blvd Ste 101
San Antonio, TX 78258

Mailing address

21708 Hardy Oak Blvd Ste 101
San Antonio, TX 78258-4860
Phone (210) 660-7455

Other practice location 1

7455 W Washington Ave
Suite 210
Las Vegas, NV 89128-4337
Phone (702) 544-6821

Other practice location 2

21708 Hardy Oak Blvd Ste 101
San Antonio, TX 78258
Phone (210) 660-7455

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.dfmassage.com Direct

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
NVMT.5365NVMDMassage Therapist
MT119934TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569628800000",
    "number": "1629418686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21708 HARDY OAK BLVD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584860",
            "telephone_number": "210-660-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21708 HARDY OAK BLVD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-660-7455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7455 W Washington Ave",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891284337",
            "country_code": "US",
            "telephone_number": "702-544-6821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21708 Hardy Oak Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78258",
            "country_code": "US",
            "telephone_number": "210-660-7455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-04",
        "last_updated": "2019-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT.5365",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT119934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.dfmassage.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21708 Hardy Oak Blvd Ste 101",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782584860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.