Great Plains Radiology PLLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

GREAT PLAINS RADIOLOGY PLLC

Practice address

4381 NW Water Lily PL
Camas, WA 98607-8843

Phone

(817) 881-2765

Fax

(817) 259-2759

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Dustin D Nguyen, DO

Title

Owner

Phone

(817) 881-2765

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ryan Tran, MD

  • Pain Medicine (Anesthesiology) Physician
  • Fort Worth, TX
  • NPI 1124236484
  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1104558915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 NW WATER LILY PL",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078843",
            "telephone_number": "817-881-2765",
            "fax_number": "817-259-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 NW WATER LILY PL",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078843",
            "telephone_number": "817-881-2765",
            "fax_number": "817-259-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-881-2765",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Anne Glaze, LMP
• Daniel Joseph Goldstein, DC
• Richard Mark Golosinskiy, LMHC
• Kristina R Good, LMT
• Stephen P Grant, LMHCA
• Gresham Family Dental, LLC
• Karen E. Grice, M.S. CCC-SLP
• Growth and Renewal Therapy
• Junhua Guan, MA 61275237
• Lisa Suzanne Guerin

• Radiology Clinic/Center in Camas, WA
• Providers in Camas, WA by specialty
• Radiology Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.