Organization Active NPI

Advanced Dental Imaging Center

  • Radiology Clinic/Center
  • Colleyville, TX
National Provider Identifier
1033376124
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ADVANCED DENTAL IMAGING CENTER
Practice address
5005 Heritage Ave
Suite 180
Colleyville, TX 76034-5913
Phone
(682) 738-3027
NPI assigned
May 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. William Laurence Oliver, D.D.S.
Title
Owner
Phone
(682) 738-3027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X TX Primary

Addresses

Primary practice location

5005 Heritage Ave
Suite 180
Colleyville, TX 76034-5913

Mailing address

5005 Heritage Ave
Suite 180
Colleyville, TX 76034-5913
Phone (682) 738-3027

National Provider Directory

National Provider Directory

Locations

5005 Heritage Ave
Ste 180
Colleyville, TX 76034
Phone (682) 738-3027

NPI Registry JSON

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1033376124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 HERITAGE AVE",
            "address_2": "SUITE 180",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345913",
            "telephone_number": "682-738-3027",
            "fax_number": "800-618-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 HERITAGE AVE",
            "address_2": "SUITE 180",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345913",
            "telephone_number": "682-738-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-18",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LAURENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-738-3027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.