Organization Active NPI

Cedar Creek Neurology, PLLC

  • Electrodiagnostic Medicine Physician
  • McKinney, TX
National Provider Identifier
1699366401
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
Legal business name
CEDAR CREEK NEUROLOGY, PLLC
Practice address
8751 Collin McKinney Parkway, Suite 1102 #1009
McKinney, TX 75070
Phone
(972) 991-2292
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Doreen Shinn
Title
Cfo
Phone
(972) 991-2292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204R00000X Primary

Addresses

Primary practice location

8751 Collin McKinney Parkway, Suite 1102 #1009
McKinney, TX 75070

Mailing address

8751 Collin McKinney Parkway, Suite 1102 #1009
McKinney, TX 75070
Phone (972) 991-2292

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1699366401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 COLLIN MCKINNEY PARKWAY, SUITE 1102 #1009",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "972-991-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 COLLIN MCKINNEY PARKWAY, SUITE 1102 #1009",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "972-991-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK NEUROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-991-2292"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.