Individual provider Active NPI

Joshua Christopher Paredes

  • Registered Nurse
  • Dallas, TX
National Provider Identifier
1932530904
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
898926 Issued in TX
Practice address
11816 Inwood Rd # 3090
Dallas, TX 75244-8011
Phone
(918) 210-4961
NPI assigned
Dec 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X R000111696 OK
Community Health Registered Nurse 163WC1500X R000111696 OK
Emergency Registered Nurse 163WE0003X R000111696 OK
Psychiatric/Mental Health Registered Nurse 163WP0808X R000111696 OK
Registered Nurse 163W00000X 898926 TX Primary

Addresses

Primary practice location

11816 Inwood Rd # 3090
Dallas, TX 75244-8011

Mailing address

11816 Inwood Rd # 3090
Dallas, TX 75244-8011
Phone (918) 210-4961

Other practice location 1

7010 S Yale Ave
Suite 215
Tulsa, OK 74136-5713
Phone (918) 361-4388

Other identifiers 1

IdentifierTypeStateIssuer
1205990074OtherOKOHCA

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

LicenseStateTypeSpecialty
898926TXMDRegistered Nurse
R000111696OKMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1932530904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11816 INWOOD RD # 3090",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752448011",
            "telephone_number": "918-210-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11816 INWOOD RD # 3090",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752448011",
            "telephone_number": "918-210-4961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7010 S Yale Ave",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741365713",
            "country_code": "US",
            "telephone_number": "918-361-4388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "JOSHUA",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-02",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OK",
            "license": "R000111696",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OK",
            "license": "R000111696",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OK",
            "license": "R000111696",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OK",
            "license": "R000111696",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "898926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHCA",
            "identifier": "1205990074",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.