Active NPI
Principle Imaging, LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- PRINCIPLE IMAGING, LLC
- Practice address
- 9367 W 87TH St
Overland Park, KS 66212-3753 - Phone
- (832) 932-5968
- NPI assigned
- Mar 12, 2025
- Organization subpart
- Yes
- Parent organization
- PRINCIPLE IMAGING, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Blake Werner
- Title
- Director
- Phone
- (832) 549-8355
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | |||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
9367 W 87TH St
Overland Park, KS 66212-3753
Mailing address
16840 Buccaneer LN Ste 261
Houston, TX 77058-2570
Phone (832) 549-8355
Other practice location 1
5931 Nieman Rd Ste 125
Shawnee, KS 66203-2904
Phone (832) 549-8355
Other practice location 2
5931 Nieman Rd Ste 125
Shawnee, KS 66203-2904
Phone (832) 549-8355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250516003141 | KS | Part B Supplier - Portable X-Ray Supplier | 6406397017 | Practice locations: Shawnee, KS |
| O20250729002016 | KS | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6406397017 | Practice locations: Shawnee, KS |
Portable X-ray supplier certification: CCN 17X0009811
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Principle Imaging Llc
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Mar 17, 2026
- Last certification
- Mar 17, 2026
- Facility address
- 5931 Nieman Road
Shawnee, KS 66203
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Principle Imaging LLC
- Part of
- Principle Imaging LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Oklahoma City, OK
- NPI 1003603895
-
- Physiological Laboratory
- Houston, TX
- NPI 1841032810
Locations
9367 W 87th St
Overland Park, KS 66212
Phone (832) 932-5968
5931 Nieman Rd
Ste 125
Shawnee, KS 66203
Phone (832) 549-8355
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Forest Park, IL
- NPI 1255331096
-
- Diagnostic Radiology Physician
- Carmel, IN
- NPI 1639148406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776124800000",
"number": "1033918818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16840 BUCCANEER LN STE 261",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582570",
"telephone_number": "832-549-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9367 W 87TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662123753",
"telephone_number": "832-932-5968"
}
],
"practiceLocations": [
{
"address_1": "5931 Nieman Rd Ste 125",
"address_purpose": "LOCATION",
"city": "Shawnee",
"state": "KS",
"postal_code": "662032904",
"country_code": "US",
"telephone_number": "832-549-8355",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5931 Nieman Rd Ste 125",
"address_purpose": "LOCATION",
"city": "Shawnee",
"state": "KS",
"postal_code": "662032904",
"country_code": "US",
"telephone_number": "832-549-8355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PRINCIPLE IMAGING, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRINCIPLE IMAGING, LLC",
"enumeration_date": "2025-03-12",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A",
"authorized_official_last_name": "WERNER",
"authorized_official_first_name": "BLAKE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "832-549-8355"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.