Teton MRI

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

TETON MRI

Practice address

625 E Broadway
Jackson, WY 83001

Phone

(307) 739-7234

Fax

(307) 739-7449

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

John J Kren

Title

Controller

Phone

(307) 739-7526

Specialties & licenses 1

Addresses

Other names 1

• MRI of Jackson Hole Doing business as

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154490233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4606",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-739-7234",
            "fax_number": "307-739-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E BROADWAY",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-739-7234",
            "fax_number": "307-739-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KREN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "307-739-7526"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI of Jackson Hole",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teton Crest Counseling LLC
• Teton Dermatology LLC
• Teton Hand Therapy LLC
• Teton Hand Therapy LLC
• Teton Internal Medicine PC
• Teton Oral & Maxillofacial Surgery
• Teton Oral and Maxillofacial Surgery
• Teton Outpatient Services LLC
• Teton Pathology, PC
• Teton Pediatrics PC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Jackson, WY
• Providers in Jackson, WY by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.