Active NPI
James Daniel Dlouhy, RT(R), (VI)
- Vascular-Interventional Technology Radiologic Technologist
- Salisbury, NC
National Provider Identifier
1144504184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular-Interventional Technology Radiologic Technologist
- License
- 03645
- Practice address
- 1601 Brenner Avenue
Salisbury VA Medical Center
Salisbury, NC 28144 - Phone
- (704) 638-9000
- NPI assigned
- Oct 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular-Interventional Technology Radiologic Technologist | 2471V0106X | 03645 | IA | Primary |
Addresses
Primary practice location
1601 Brenner Avenue
Salisbury VA Medical Center
Salisbury, NC 28144
Mailing address
742 12TH St NE
Mason City, IA 50401-2315
Phone (641) 423-2357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03645 | Other | IA | RADIOLOGIC TECHNOLOGIST PERMIT TO PRACTICE |
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 |
|---|---|---|---|
| 03645 | IA | MD | Vascular-Interventional Technology Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1144504184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 12TH ST NE",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012315",
"telephone_number": "641-423-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BRENNER AVENUE",
"address_2": "SALISBURY VA MEDICAL CENTER",
"city": "SALISBURY",
"state": "NC",
"postal_code": "28144",
"telephone_number": "704-638-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DLOUHY",
"first_name": "JAMES",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "RT(R), (VI)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-10",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2471V0106X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular-Interventional Technology",
"state": "IA",
"license": "03645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RADIOLOGIC TECHNOLOGIST PERMIT TO PRACTICE",
"identifier": "03645",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.