Active NPI
Alan D Massengill, M.D.
- Diagnostic Radiology Physician
- Hickory, NC
National Provider Identifier
1013028562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 9700659
- Practice address
- 18 13TH Ave NE
Hickory, NC 28601-3748 - Phone
- (828) 322-2644
- Fax
- (828) 327-2235
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 9700659 | NC | |
| Neuroradiology Physician | 2085N0700X | 9700659 | NC | |
| Nuclear Radiology Physician | 2085N0904X | 9700659 | NC | |
| Pediatric Radiology Physician | 2085P0229X | 9700659 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 9700659 | NC | Primary |
| Therapeutic Radiology Physician | 2085R0203X | 9700659 | NC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 9700659 | NC | |
| Radiological Physics Physician | 2085R0205X | 9700659 | NC | |
| Diagnostic Ultrasound Physician | 2085U0001X | 9700659 | NC |
Addresses
Primary practice location
18 13TH Ave NE
Hickory, NC 28601-3748
Mailing address
PO Box 308
Hickory, NC 28603-0308
Phone (828) 322-2644
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 560941927 | Other | NC | UNITED HEALTHCARE |
| 1039V | Other | NC | BCBS |
| 891039V | Medicaid | NC | |
| 560941927 | Other | NC | CIGNA |
| 300069385 | Other | NC | RAILROAD MEDICARE |
| 246190 | Other | NC | MAMSI |
| 560941927 | Other | NC | MEDCOST |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9700659 | NC | MD | Nuclear Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1013028562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 308",
"city": "HICKORY",
"state": "NC",
"postal_code": "286030308",
"telephone_number": "828-322-2644",
"fax_number": "828-327-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 13TH AVE NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013748",
"telephone_number": "828-322-2644",
"fax_number": "828-327-2235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSENGILL",
"first_name": "ALAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NC",
"license": "9700659",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NC",
"license": "9700659",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NC",
"license": "9700659",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "NC",
"license": "9700659",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "9700659",
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "NC",
"license": "9700659",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NC",
"license": "9700659",
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "NC",
"license": "9700659",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NC",
"license": "9700659",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "560941927",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1039V",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891039V",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "560941927",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300069385",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "246190",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "560941927",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.