Active NPI
Jose Santana Jr., CST
- Other Specialist/Technologist
- Fort Worth, TX
National Provider Identifier
1881992097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 84215
- Practice address
- 10317 Dallam LN
Fort Worth, TX 76108-4975 - Phone
- (817) 244-3511
- NPI assigned
- Mar 11, 2011
- 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 Specialist/Technologist | 246Z00000X | 84215 | TX | Primary |
Addresses
Primary practice location
10317 Dallam LN
Fort Worth, TX 76108-4975
Mailing address
10317 Dallam LN
Fort Worth, TX 76108-4975
Phone (817) 244-3511
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 |
|---|---|---|---|
| 84215 | TX | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299801600000",
"number": "1881992097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10317 DALLAM LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761084975",
"telephone_number": "817-244-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10317 DALLAM LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761084975",
"telephone_number": "817-244-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTANA",
"first_name": "JOSE",
"name_suffix": "Jr.",
"credential": "CST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-11",
"last_updated": "2011-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "TX",
"license": "84215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.