NPIMap

Organization Active NPI

PRN Imaging, LLC

  • Ophthalmology Physician
  • Overland Park, KS
National Provider Identifier
1235473448
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-26713 Issued in KS
Legal business name
PRN IMAGING, LLC
Practice address
10851 Mastin St Ste 100
Overland Park, KS 66210-1608
Phone
(913) 956-5000
Fax
(913) 956-4955
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. David S Dyer, M.D.
Title
Owner
Phone
(913) 956-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 04-26713 KS Primary

Addresses

Primary practice location

10851 Mastin St Ste 100
Overland Park, KS 66210-1608

Mailing address

10851 Mastin St Ste 100
Overland Park, KS 66210-1608
Phone (913) 956-5000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1235473448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10851 MASTIN ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101608",
            "telephone_number": "913-956-5000",
            "fax_number": "913-956-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10851 MASTIN ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101608",
            "telephone_number": "913-956-5000",
            "fax_number": "913-956-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-956-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-26713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.