Active NPI
William Earl Webbles
- Mobile Radiology Clinic/Center
- Rochester, MN
National Provider Identifier
1134427172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- MNXO-1218
- Practice address
- 5220 Palmer LN NW
Rochester, MN 55901-3871 - Phone
- (507) 254-9464
- NPI assigned
- Feb 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | |||
| Mobile Radiology Clinic/Center | 261QR0208X | MNXO-1218 | MN | Primary |
Addresses
Primary practice location
5220 Palmer LN NW
Rochester, MN 55901-3871
Mailing address
5220 Palmer LN NW
Rochester, MN 55901-3871
Phone (507) 254-9464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MNXO-1218 | MN | MD | Mobile Radiology Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med City X-Ray | Radiology, Mobile | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1134427172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 PALMER LN NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559013871",
"telephone_number": "507-254-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5220 PALMER LN NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559013871",
"telephone_number": "507-254-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBBLES",
"first_name": "WILLIAM",
"middle_name": "EARL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-28",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "MN",
"license": "MNXO-1218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.