Bay State Dental & Medical Imaging Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

04662 Issued in MA

Legal business name

BAY STATE DENTAL & MEDICAL IMAGING INC.

Doing business as

Xpresscan CBCT Imaging

Practice address

1208B VFW Pkwy
Suite 301
West Roxbury, MA 02132-4349

Phone

(617) 323-7050

Fax

(617) 933-9722

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bela Kasas

Title

President

Phone

(617) 323-7050

Specialties & licenses 1

Addresses

Other names 1

• Xpresscan CBCT Imaging Doing business as

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023103942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208B VFW PKWY",
            "address_2": "SUITE 301",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324349",
            "telephone_number": "617-323-7050",
            "fax_number": "617-933-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208B VFW PKWY",
            "address_2": "SUITE 301",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324349",
            "telephone_number": "617-323-7050",
            "fax_number": "617-933-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY STATE DENTAL & MEDICAL IMAGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KASAS",
        "authorized_official_first_name": "BELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-323-7050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MA",
            "license": "04662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xpresscan CBCT Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Jean Barrios
• Allison Rebecca Basel, MD
• Kenneth A Bauer, M.D.
• Barbara R Baxter, P.A.
• Jessica Y Baxter
• Bear Mt Parkway, LLC (Parkway Health and Rehabilitation Center)
• Bear Mt West Roxbury, LLC (West Roxbury Health and Rehabilitation Center)
• Melissa Kolsby Beardsley, ATC
• Lindsay Beatty, PT, DPT
• Jacqueline De Cormier Beaulieu

• Radiology Clinic/Center in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Radiology Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.