Active NPI
Robert Steven Chudnow, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Plano, TX
National Provider Identifier
1831248129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- J6091
- Practice address
- 4032 McDermott Rd
Suite 100
Plano, TX 75024-7733 - Phone
- (972) 769-9000
- Fax
- (972) 769-0035
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | J6091 | TX | Primary |
Addresses
Primary practice location
4032 McDermott Rd
Suite 100
Plano, TX 75024-7733
Mailing address
4032 McDermott Rd
Suite100
Plano, TX 75024-7733
Phone (972) 769-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J6091 | TX | MD | Neurology with Special Qualifications in Child Neurology Physician |
Interoperability endpoints
- robert.chudnow@tcnp.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1831248129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4032 MCDERMOTT RD",
"address_2": "SUITE100",
"city": "PLANO",
"state": "TX",
"postal_code": "750247733",
"telephone_number": "972-769-9000",
"fax_number": "972-769-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4032 MCDERMOTT RD",
"address_2": "SUITE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750247733",
"telephone_number": "972-769-9000",
"fax_number": "972-769-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUDNOW",
"first_name": "ROBERT",
"middle_name": "STEVEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "TX",
"license": "J6091",
"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 Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.