Organization Active NPI

Spotted Bass Neuromonitoring, LLC

  • Specialist
  • Plano, TX
National Provider Identifier
1922437839
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SPOTTED BASS NEUROMONITORING, LLC
Practice address
4100 W 15TH St
Ste 206
Plano, TX 75093-5803
Phone
(972) 468-9467
NPI assigned
Nov 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Dr. Pedro Nosnik, M.D.
Title
Director
Phone
(972) 468-9467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4100 W 15TH St
Ste 206
Plano, TX 75093-5803

Mailing address

4100 W 15TH St
Ste 206
Plano, TX 75093-5803

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1922437839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST",
            "address_2": "STE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST",
            "address_2": "STE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935803",
            "telephone_number": "972-468-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOTTED BASS NEUROMONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "NOSNIK",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-468-9467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Nov 1, 2013; 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.