DAVINCI NEUROMONITORING LLC (NPI# 1740662667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740662667 |
| Entity Type | Organization |
| Organization Name | DAVINCI NEUROMONITORING LLC |
| Practice Address |
5573 Seabury Dr Fort Worth TX 76137-5393 |
| Practice Telephone | 8178977494 |
| Mailing Telephone | 8178977494 |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-06-27 |
| Authorized Official Name | RONALD KIMMEL (MANAGER) |
| Authorized Official Telephone | 8178977494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5573 SEABURY DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76137-5393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053855189 | Alauan LLC | Nurse Practitioner | 5573 Seabury Dr, Fort Worth, TX 76137-5393 | 2016-12-08 |
| 1023551397 | Pinnacle Neuromonitoring, LLC | Specialist/Technologist, Other | 5573 Seabury Dr, Fort Worth, TX 76137-5393 | 2016-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975581 | Rose Kabera | Registered Nurse | 8021 Jolie Dr, Fort Worth, TX 76137 | 2019-01-07 |
| 1043786569 | Grace-marie Jones | Licensed Vocational Nurse | 5201 Endicott Avenue, Fort Worth, TX 76137 | 2018-10-23 |
| 1104327683 | Jeris Taylor | Registered Nurse | 4144 Heritage Way Dr, Fort Worth, TX 76137 | 2018-02-21 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1447789896 | Texas Surgical Ally | Physician Assistant | 6677 Friendsway Dr, Fort Worth, TX 76137 | 2017-06-08 |
| 1992249239 | Tracy Kirk Dds, Pllc | Dentist | 6300 N. Beach St, Ft Worth, TX 76137 | 2016-12-06 |
| 1992103295 | Keller Modern Dentistry and Orthodontics, PC | Dentist | 5701 N. Tarrant Pkwy, Suite 101, Fort Worth, TX 76137 | 2014-12-18 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1205246758 | Jack Milton Curlee Jr. | Counselor | 3629 Western Center Blvd., Suite 211, Fort Worth, TX 76137 | 2014-05-06 |
| 1932457363 | Milestone Dental of Keller, Pllc | Dentist | 5800 North Tarrant Parkway, Suite 102, Fort Worth, TX 76137 | 2012-08-15 |
| Find all providers in zip 76137 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816105 | Jordan Smith | Specialist/Technologist, Other | 7101 Bryant Irvin Rd Unit 34506, Fort Worth, TX 76162-5009 | 2020-06-23 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1245743061 | Patrick A Lastimosa | Specialist/Technologist, Other | 500 Throckmorton St Apt 3309, Fort Worth, TX 76102-3820 | 2017-11-15 |
| 1336679638 | Hypnic Diagnostics LLC | Specialist/Technologist, Other | 6387 Camp Bowie Blvd Ste B, Pmb #324, Fort Worth, TX 76116-5486 | 2017-06-19 |
| 1366972697 | Shortwave Diagnostics LLC | Specialist/Technologist, Other | 3501 Sycamore School Rd Ste 125, Pmb #312, Fort Worth, TX 76133-7826 | 2017-06-19 |
| 1780047852 | Mustang Neurodiagnostics, Pllc | Specialist/Technologist, Other | 8553 N Beach St # 394, Fort Worth, TX 76244-4919 | 2016-04-05 |
| 1083019095 | Nexus Diagnostics LLC | Specialist/Technologist, Other | 964 Jockey Club Ln, Fort Worth, TX 76179-2358 | 2014-11-03 |
| 1982907143 | Neuro Diagnostic Home Services, LLC | Specialist/Technologist, Other | 1120 S Freeway, Suite 204, Fort Worth, TX 76104-5064 | 2010-12-09 |
| 1881230670 | De Anne Simon | Specialist/Technologist, Other | 201 Main St Ste 600, Fort Worth, TX 76102-3110 | 2019-11-27 |
| 1023551397 | Pinnacle Neuromonitoring, LLC | Specialist/Technologist, Other | 5573 Seabury Dr, Fort Worth, TX 76137-5393 | 2016-11-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76137 |
Please comment or provide details below to improve the information on DAVINCI NEUROMONITORING LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.