Kingman Radiology Associates LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

KINGMAN RADIOLOGY ASSOCIATES LLC

Practice address

2110 Airway Ave
Kingman, AZ 86409-3652

Phone

(928) 681-1800

NPI assigned

Dec 11, 2009

Last updated

Dec 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Max Lynn Terry, MDNPI 1295775815

Title

President

Phone

(928) 681-1800

Specialties & licenses 1

Addresses

Locations

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.

• Max L Terry, M.D.

  • Diagnostic Radiology Physician
  • Kingman, AZ
  • NPI 1295775815
  Authorized official Same address or phone

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1124357660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 AIRWAY AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093652",
            "telephone_number": "928-681-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 AIRWAY AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093652",
            "telephone_number": "928-681-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGMAN RADIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-681-1800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingman Kidney Clinic Inc.
• Kingman Neurology
• Kingman No 1 LLC (Desert Highlands Care Center)
• Kingman Oncology Institute LLC
• Kingman Pulmonary Associates, LLC
• Kingman Senior Living, LLC (White Cliffs Senior Living)
• Kingman Transportation Service, LLC (Kingman Cab Company)
• Kingman Unified School District
• Kingman Unified School District #20
• Matthew Kirsch

• Diagnostic Radiology Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.