Organization Active NPI

Net Neurodiagnostic Services,Inc

  • Specialist
  • Paris, TX
National Provider Identifier
1851653042
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J7476 Issued in TX
Legal business name
NET NEURODIAGNOSTIC SERVICES,INC
Practice address
2655 NE Loop 286
Paris, TX 75460-3444
Phone
(903) 784-1593
Fax
(903) 784-6807
NPI assigned
Jun 13, 2012
Last updated
Sep 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Dr. Peter EdenhofferNPI 1790898963
Title
Owner
Phone
(903) 784-1593

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J7476 TX Primary

Addresses

Primary practice location

2655 NE Loop 286
Paris, TX 75460-3444

Mailing address

2655 NE Loop 286
Paris, TX 75460-3444
Phone (903) 784-1593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120830000481 TX Part B Supplier - Clinic/Group Practice 8325295041 Receives reassigned benefits from 1 practitioner
Practice locations: Paris, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1851653042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754603444",
            "telephone_number": "903-784-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754603444",
            "telephone_number": "903-784-1593",
            "fax_number": "903-784-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NET NEURODIAGNOSTIC SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "EDENHOFFER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-784-1593",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J7476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.