Active NPI
Peronica McNair
- Prosthetics Case Management
- Dallas, TX
National Provider Identifier
1962966614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 1170077
- Practice address
- 8063 Vista Hill LN
Dallas, TX 75249-2031 - Phone
- (972) 209-1860
- NPI assigned
- Jan 28, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 1170077 | TX | Primary |
Addresses
Primary practice location
8063 Vista Hill LN
Dallas, TX 75249-2031
Mailing address
8063 Vista Hill LN
Dallas, TX 75249-2031
Phone (972) 816-8067
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 |
|---|---|---|---|
| 1170077 | TX | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1962966614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8063 VISTA HILL LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752492031",
"telephone_number": "972-816-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8063 VISTA HILL LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752492031",
"telephone_number": "972-209-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAIR",
"first_name": "PERONICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "TX",
"license": "1170077",
"primary": true
}
],
"identifiers": [],
"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 May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.