Individual provider Active NPI

Daniel F Housholder, M.D.

  • Diagnostic Radiology Physician
  • Wichita, KS
National Provider Identifier
1063411692
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0414720 Issued in KS
Practice address
551 N Hillside St
Suite 320
Wichita, KS 67214-4923
Phone
(316) 685-1367
NPI assigned
Jul 15, 2005
Last updated
Jan 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0414720 KS Primary

Addresses

Primary practice location

551 N Hillside St
Suite 320
Wichita, KS 67214-4923

Mailing address

551 N Hillside St
Suite 320
Wichita, KS 67214-4923
Phone (316) 685-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0414720KSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Radiological Group Prof Assoc PastSince Feb 2, 2020 Accepting new patients
Via Christi Regional Medical Center Past Accepting new patients
Ascension Via Christi Imaging Wichita, LLC Past Accepting new patients
Via Christi Hospitals Wichita, Inc Past Accepting new patients
Digital Radiology Services, LLC PastSince Dec 1, 2004 Accepting new patients
Kansas Imaging Consultants, PA Diagnostic Radiology Past Accepting new patients
Mr Imaging Center LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1063411692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST",
            "address_2": "SUITE 320",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144923",
            "telephone_number": "316-685-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST",
            "address_2": "SUITE 320",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144923",
            "telephone_number": "316-685-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSHOLDER",
        "first_name": "DANIEL",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0414720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.