NPIMap

Organization Active NPI

Central Dakota Radiologists PC

  • Diagnostic Radiology Physician
  • Bismarck, ND
National Provider Identifier
1003851841
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CENTRAL DAKOTA RADIOLOGISTS PC
Practice address
900 E Broadway Ave
Bismarck, ND 58501-4520
Phone
(701) 530-7000
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Matthew Stone, M.D.
Title
Secretary/Treasurer
Phone
(701) 530-8575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

900 E Broadway Ave
Bismarck, ND 58501-4520

Mailing address

810 E Rosser Ave Ste 201
Bismarck, ND 58501-4463
Phone (866) 607-5479

Other identifiers 1

IdentifierTypeStateIssuer
11952MedicaidND

National Provider Directory

National Provider Directory

Locations

810 E Rosser Ave
#201
Bismarck, ND 58501
Phone (701) 224-7480

600 N 9th St
Bismarck, ND 58501
Phone (701) 221-2299

810 E Rosser Ave
Ste 201
Bismarck, ND 58501

800 4th St N
Carrington, ND 58421
Phone (701) 652-3141

922 Lincoln Ave
Harvey, ND 58341
Phone (701) 324-4856

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1003851841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E ROSSER AVE STE 201",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014463",
            "telephone_number": "866-607-5479",
            "fax_number": "920-739-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014520",
            "telephone_number": "701-530-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DAKOTA RADIOLOGISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "701-530-8575",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11952",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.