Organization Active NPI

Principle Imaging, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Overland Park, KS
National Provider Identifier
1033918818
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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)CodeLicenseStatePrimary
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 KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 LLC3 organizations share this tax ID, including this one
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.

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.

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

Verify at the official NPI Registry.