Revolution Neuromonitoring, LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

REVOLUTION NEUROMONITORING, LLC

Practice address

6437 Southpoint Dr
Dallas, TX 75248-2109

Phone

(214) 295-6703

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jeremiah Titus Vance, CNIM

Title

President/Ceo

Phone

(214) 295-6703

Specialties & licenses 1

Addresses

Tax ID family

Revolution Neuromonitoring LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Revolution Neuromonitoring, LLC

  • Neurology Physician
  • Irving, TX
  • NPI 1538515630
  NPD tax ID

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1861871402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6437 SOUTHPOINT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "214-295-6703",
            "fax_number": "469-385-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6437 SOUTHPOINT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482109",
            "telephone_number": "214-295-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION NEUROMONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "TITUS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "214-295-6703",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revive Whole Life Solutions LLC
• Revivify Revenue Cycle Consulting LLC
• Revivo Medical PA
• Revolution Monitoring
• Revolution Monitoring Management, LLC
• Mollie Rew
• David Austin Rex, CRNA
• Shari L Rex, CRNA
• Jesus Rey II, M.D.
• Jamaica Reyes-Araujo, LCSW

• Electroneurodiagnostic Specialist/Technologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.