NPIMap

Organization Active NPI

Jar Enterprices Inc

  • Radiology Clinic/Center
  • San Antonio, TX
National Provider Identifier
1205946183
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
JAR ENTERPRICES INC
Practice address
2115 Pleasanton Rd
Suite 102
San Antonio, TX 78221-1321
Phone
(210) 922-0016
Fax
(210) 922-0261
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Nicole Ann Nelson
Title
Director
Phone
(210) 922-0016

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M1202X J9298 TX
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

2115 Pleasanton Rd
Suite 102
San Antonio, TX 78221-1321

Mailing address

2115 Pleasanton Rd
Suite 102
San Antonio, TX 78221-1321
Phone (210) 922-0016

Other practice location 1

11730 West Ave
San Antonio, TX 78216-2524
Phone (210) 366-0378

Other identifiers 1

IdentifierTypeStateIssuer
154887701MedicaidTX

Other names 1

  • PREMIER MEDICAL IMAGING Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090227000288 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5799757183 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

2115 Pleasanton Rd
Ste 102
San Antonio, TX 78221
Phone (210) 725-4646

11730 West Ave
San Antonio, TX 78216
Phone (210) 340-8501

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1205946183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 PLEASANTON RD",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211321",
            "telephone_number": "210-922-0016",
            "fax_number": "210-922-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 PLEASANTON RD",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211321",
            "telephone_number": "210-922-0016",
            "fax_number": "210-922-0261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11730 West Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782162524",
            "country_code": "US",
            "telephone_number": "210-366-0378",
            "fax_number": "210-366-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAR ENTERPRICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-922-0016"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "TX",
            "license": "J9298",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154887701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER MEDICAL IMAGING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PREMIER MEDICAL IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.