Organization Active NPI

Toic, LLC

  • Radiology Clinic/Center
  • Joplin, MO
National Provider Identifier
1104968064
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
TOIC, LLC
Practice address
1905 W 32ND St
Suite 106
Joplin, MO 64804-1529
Phone
(417) 626-0072
Fax
(417) 626-0919
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Mr. Richard Joseph Jr.
Title
Ceo
Phone
(417) 626-0072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1905 W 32ND St
Suite 106
Joplin, MO 64804-1529

Mailing address

1905 W 32ND St
Suite 106
Joplin, MO 64804-1529
Phone (417) 626-0072

Other identifiers 4

IdentifierTypeStateIssuer
716169800MedicaidMO
186482OtherMOBLUE CROSS
200039560BMedicaidOK
200278080AMedicaidKS

Other names 1

  • THOUSAND OAKS IMAGING CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1905 W 32nd St
Ste 106
Joplin, MO 64804
Phone (417) 625-2462

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1104968064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W 32ND ST",
            "address_2": "SUITE 106",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041529",
            "telephone_number": "417-626-0072",
            "fax_number": "417-626-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 32ND ST",
            "address_2": "SUITE 106",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041529",
            "telephone_number": "417-626-0072",
            "fax_number": "417-626-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-626-0072",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716169800",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "186482",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039560B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200278080A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THOUSAND OAKS IMAGING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.