NPIMap

Organization Active NPI

Newberg Radiology Associates

  • Diagnostic Radiology Physician
  • Newberg, OR
National Provider Identifier
1063466209
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NEWBERG RADIOLOGY ASSOCIATES
Practice address
501 Villa Rd
Newberg, OR 97132-1832
Phone
(503) 537-1578
NPI assigned
May 20, 2006
Last updated
Jul 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Dr. Anthony Dire J, M.D.
Title
President
Phone
(503) 537-1578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

501 Villa Rd
Newberg, OR 97132-1832

Mailing address

PO Box 6600
Portland, OR 97228-6600
Phone (503) 657-8663

Other identifiers 2

IdentifierTypeStateIssuer
280321MedicaidOR
7001605MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1063466209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6600",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972286600",
            "telephone_number": "503-657-8663",
            "fax_number": "503-723-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321832",
            "telephone_number": "503-537-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERG RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "J",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DIRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-537-1578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280321",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001605",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.