Diagnostic Radiology

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DIAGNOSTIC RADIOLOGY

Practice address

902 S Bryant Ave
Edmond, OK 73034-5742

Phone

(405) 348-1900

Fax

(405) 348-0423

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Becky M Jackson

Title

Billing Office Manager

Phone

(405) 348-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary M Jones, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1780688457
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1073565115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2080",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730832080",
            "telephone_number": "405-348-1900",
            "fax_number": "405-348-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345742",
            "telephone_number": "405-348-1900",
            "fax_number": "405-348-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "405-348-1900"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100734560A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DHC Faith Holdings, LLC
• Diagnostic Laboratory of Oklahoma, LLC
• Diagnostic Mobile X-Ray Inc
• Diagnostic Mobile Xray of Enid
• Diagnostic Orthopedic Group LLC
• Diagnostic Resources, LLC
• Diana K. Rice Nutrition, LLC
• Diane D. Brown, M.Ed., L.P.C., P.C.
• Denise Danielle Diaz
• Tina D Dickerson, D.O.

• Diagnostic Radiology Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.