Organization Active NPI

Outpatient Diagnostic Center of Dallas LP

Doing business as Two Forest Imaging

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1093798670
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
OUTPATIENT DIAGNOSTIC CENTER OF DALLAS LP
Doing business as
Two Forest Imaging
Practice address
12201 Merit Dr
Ste. 100
Dallas, TX 75251-2213
Phone
(214) 276-0050
Fax
(214) 276-0057
NPI assigned
Nov 28, 2005
Last updated
Nov 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Jeff Jones
Title
Cfo
Phone
(719) 955-4332

Specialties & licenses 1

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

Addresses

Primary practice location

12201 Merit Dr
Ste. 100
Dallas, TX 75251-2213

Mailing address

8610 Explorer Dr
300
Colorado Springs, CO 80920-1058
Phone (719) 955-4140

Other identifiers 1

IdentifierTypeStateIssuer
162958601MedicaidTX

Other names 1

  • Two Forest Imaging Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1093798670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 EXPLORER DR",
            "address_2": "300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201058",
            "telephone_number": "719-955-4140",
            "fax_number": "719-955-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR",
            "address_2": "STE. 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512213",
            "telephone_number": "214-276-0050",
            "fax_number": "214-276-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT DIAGNOSTIC CENTER OF DALLAS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-955-4332"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162958601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Two Forest Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.