Organization Active NPI

Advanced Neuromonitoring Services PLLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Plano, TX
National Provider Identifier
1790457752
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
Legal business name
ADVANCED NEUROMONITORING SERVICES PLLC
Practice address
6160 Windhaven Pkwy Ste 200
Plano, TX 75093-2138
Phone
(197) 237-8690
NPI assigned
Sep 29, 2021
Organization subpart
Yes
Parent organization
LUIS A MIGNUCCI, MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Luis Mignucci, MD
Title
President
Phone
(972) 378-6908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X Primary

Addresses

Primary practice location

6160 Windhaven Pkwy Ste 200
Plano, TX 75093-2138

Mailing address

6160 Windhaven Pkwy Ste 200
Plano, TX 75093-2138
Phone (197) 237-8690

National Provider Directory

National Provider Directory
Part of
Neurospine Consultants

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1790457752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 WINDHAVEN PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932138",
            "telephone_number": "197-237-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 WINDHAVEN PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932138",
            "telephone_number": "197-237-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEUROMONITORING SERVICES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUIS A MIGNUCCI, MD PA",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "MIGNUCCI",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-378-6908",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "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 Sep 29, 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.