Organization Active NPI

XRT 1, Inc

Doing business as Wentzville Regional Radiation Therapy

  • Specialist
  • Crystal City, MO
National Provider Identifier
1194960559
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R5635 Issued in MO
Legal business name
XRT 1, INC
Doing business as
Wentzville Regional Radiation Therapy
Practice address
400 S Truman Blvd
Suite D
Crystal City, MO 63019-1728
Phone
(636) 937-5111
Fax
(636) 937-5777
NPI assigned
Dec 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Dr. Mary W Conti, M.D.
Title
Co-Owner
Phone
(618) 632-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X R5635 MO Primary

Addresses

Primary practice location

400 S Truman Blvd
Suite D
Crystal City, MO 63019-1728

Mailing address

400 S Truman Blvd
Suite D
Crystal City, MO 63019-1728
Phone (636) 937-5111

Other names 1

  • Wentzville Regional Radiation Therapy Doing business as

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": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1194960559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S TRUMAN BLVD",
            "address_2": "SUITE D",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191728",
            "telephone_number": "636-937-5111",
            "fax_number": "636-937-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S TRUMAN BLVD",
            "address_2": "SUITE D",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191728",
            "telephone_number": "636-937-5111",
            "fax_number": "636-937-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XRT 1, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "CONTI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "618-632-5501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R5635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wentzville Regional Radiation Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.