Individual provider Active NPI

Anthony Casarez, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Plano, TX
National Provider Identifier
1649574245
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
1672 Issued in TX
Practice address
4100 W 15TH St Ste 218
Plano, TX 75093-5801
Phone
(972) 985-9048
Fax
(972) 596-7570
NPI assigned
Dec 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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 1672 TX Primary

Addresses

Primary practice location

4100 W 15TH St Ste 218
Plano, TX 75093-5801

Mailing address

4100 W 15TH St Ste 218
Plano, TX 75093-5801
Phone (972) 985-9048

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

NPI Registry JSON

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1649574245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 218",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935801",
            "telephone_number": "972-985-9048",
            "fax_number": "972-596-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 218",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935801",
            "telephone_number": "972-985-9048",
            "fax_number": "972-596-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAREZ",
        "first_name": "ANTHONY",
        "credential": "CNIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-23",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TX",
            "license": "1672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.