Individual provider Active NPI

Adriana Basiliza Cano, M.D.

  • Nephrology Physician
  • Dallas, TX
National Provider Identifier
1730184235
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
H2516 Issued in TX
Practice address
1341 W. Mockingbird Lane
Suite 240E
Dallas, TX 75247-4971
Phone
(214) 638-6600
Fax
(214) 638-6618
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X H2516 TX Primary

Addresses

Primary practice location

1341 W. Mockingbird Lane
Suite 240E
Dallas, TX 75247-4971

Mailing address

1341 W. Mockingbird Lane
Suite 240E
Dallas, TX 75247-4971
Phone (214) 638-6600

Other identifiers 1

IdentifierTypeStateIssuer
1168858-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100223000081 TX Practitioner - Nephrology 5991743106 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1730184235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 W. MOCKINGBIRD LANE",
            "address_2": "SUITE 240E",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474971",
            "telephone_number": "214-638-6600",
            "fax_number": "214-638-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 W. MOCKINGBIRD LANE",
            "address_2": "SUITE 240E",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474971",
            "telephone_number": "214-638-6600",
            "fax_number": "214-638-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO",
        "first_name": "ADRIANA",
        "middle_name": "BASILIZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "H2516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1168858-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.