Active NPI
XRT 1, Inc
Doing business as Wentzville Regional Radiation Therapy
- Specialist
- Crystal City, MO
National Provider Identifier
1194960559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R5635
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.