American Dynamic Imaging LTD

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

AMERICAN DYNAMIC IMAGING LTD

Practice address

797 Lonesome Dove TRL
Hurst, TX 76054-6018

Phone

(817) 577-7500

Fax

(817) 577-7501

NPI assigned

Oct 16, 2006

Last updated

Feb 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gay Walters

Title

President

Phone

(817) 577-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physicians Stand Up MRI LTC Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• American Dynamic Imaging LTD

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • San Antonio, TX
  • NPI 1871676643

  0143266486

  Same PAC ID

Tax ID family

American Dynamic Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• American Dynamic Imaging LTD

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • San Antonio, TX
  • NPI 1871676643
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sreechandra Kanth Donepudi, MD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1578686242
  NPD
• Jerald D Hansing, MD

  • Diagnostic Radiology Physician
  • Portsmouth, OH
  • NPI 1891795696
  NPD
• Naiyer Imam, MD

  • Diagnostic Radiology Physician
  • Roanoke, VA
  • NPI 1992768147
  NPD
• Ranjiv Kumar Saini, M.D.

  • Diagnostic Radiology Physician
  • Daniel Island, SC
  • NPI 1578670220
  NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1013097062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 LONESOME DOVE TRL",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760546018",
            "telephone_number": "817-577-7500",
            "fax_number": "817-577-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 LONESOME DOVE TRL",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760546018",
            "telephone_number": "817-577-7500",
            "fax_number": "817-577-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DYNAMIC IMAGING LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "GAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-577-7500"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286149404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Stand Up MRI LTC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Kipton Ford Anderson, D.D.S.
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• Magnetic Resonance Imaging (MRI) Clinic/Center in Hurst, TX
• Providers in Hurst, TX by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.