Active NPI
Nathan Adams, CNIM
- Other Technician
- Frisco, TX
National Provider Identifier
1861872913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 3136
- Practice address
- 3690 Jefferson Dr
Frisco, TX 75034-6360 - Phone
- (281) 324-5660
- NPI assigned
- Jun 4, 2015
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 3136 | TX | Primary |
Addresses
Primary practice location
3690 Jefferson Dr
Frisco, TX 75034-6360
Mailing address
PO Box 1288
Crosby, TX 77532-1288
Phone (281) 324-5660
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3136 | TX | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1861872913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1288",
"city": "CROSBY",
"state": "TX",
"postal_code": "775321288",
"telephone_number": "281-324-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 JEFFERSON DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750346360",
"telephone_number": "281-324-5660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "NATHAN",
"credential": "CNIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-04",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "TX",
"license": "3136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.