Active NPI
Trinity Neurodiagnostics LLC
- Electroneurodiagnostic Specialist/Technologist
- Grand Prairie, TX
National Provider Identifier
1679768212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- TRINITY NEURODIAGNOSTICS LLC
- Practice address
- 517 N Carrier Pkwy
Grand Prairie, TX 75050-5484 - Phone
- (214) 460-0644
- Fax
- (972) 642-5183
- NPI assigned
- Sep 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael D. Anderson, D.C.
- Title
- Owner
- Phone
- (214) 460-0644
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| EEG Specialist/Technologist | 246ZE0500X | |||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
517 N Carrier Pkwy
Grand Prairie, TX 75050-5484
Mailing address
517 N Carrier Pkwy
Grand Prairie, TX 75050-5484
Phone (214) 460-0644
National Provider Directory
National Provider DirectoryLocations
3600 William D Tate Ave
Ste 200
Grapevine, TX 76051
Phone (817) 488-0100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568073600000",
"number": "1679768212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 N CARRIER PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750505484",
"telephone_number": "214-460-0644",
"fax_number": "972-642-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 N CARRIER PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750505484",
"telephone_number": "214-460-0644",
"fax_number": "972-642-5183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY NEURODIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-06",
"last_updated": "2019-09-10",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-460-0644",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "246ZE0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, EEG",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.