Organization Active NPI

Vigilant Imaging and Pain Suites, PA

  • Radiology Clinic/Center
  • Keller, TX
National Provider Identifier
1124551759
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
M8869 Issued in TX
Legal business name
VIGILANT IMAGING AND PAIN SUITES, PA
Practice address
8865 Davis Blvd
Suite 100a
Keller, TX 76248-0322
Phone
(832) 969-2784
Fax
(469) 250-4880
NPI assigned
Apr 11, 2017
Last updated
Apr 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Dr. Reginald James Newsome, MDNPI 1912178773
Title
Ceo
Phone
(832) 969-2784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X M8869 TX Primary

Addresses

Primary practice location

8865 Davis Blvd
Suite 100a
Keller, TX 76248-0322

Mailing address

2220 Canton St
Suite 211
Dallas, TX 75201-5923
Phone (832) 969-2784

National Provider Directory

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": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1124551759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CANTON ST",
            "address_2": "SUITE 211",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752015923",
            "telephone_number": "832-969-2784",
            "fax_number": "469-250-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 DAVIS BLVD",
            "address_2": "SUITE 100A",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480322",
            "telephone_number": "832-969-2784",
            "fax_number": "469-250-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGILANT IMAGING AND PAIN SUITES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-969-2784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "M8869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.