Individual provider Active NPI

Otoniel Santiago, RDN, LD

  • Registered Dietitian
  • Cedar Hill, TX
National Provider Identifier
1669910022
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT84502 Issued in TX
Practice address
804 Hines Dr
Cedar Hill, TX 75104-7258
Phone
(214) 810-1493
Fax
(972) 362-1464
NPI assigned
Feb 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT84502 TX Primary

Addresses

Primary practice location

804 Hines Dr
Cedar Hill, TX 75104-7258

Mailing address

804 Hines Dr
Cedar Hill, TX 75104-7258
Phone (214) 923-3260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190318000408 TX Practitioner - Registered Dietitian Or Nutrition Professional 1951641604 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suvida Healthcare Npho CurrentSince Feb 8, 2026 Accepting new patients

Locations

322 S Hampton Rd
Dallas, TX 75208
Phone (214) 943-1500

322 S Hampton Rd
Ste 322
Dallas, TX 75208

Interoperability endpoints

  • Direct secure messaging: otoniel.santiago@509680731226116.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1669910022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 HINES DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751047258",
            "telephone_number": "214-923-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HINES DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751047258",
            "telephone_number": "214-810-1493",
            "fax_number": "972-362-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "OTONIEL",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.