X-Ray on Wheels, Inc.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

R12988 Issued in TX

Legal business name

X-RAY ON WHEELS, INC.

Practice address

4929 Burney Dr
Ste #100
Corpus Christi, TX 78411-2708

Phone

(361) 881-9142

Fax

(361) 881-9202

NPI assigned

Sep 29, 2006

Organization subpart

Yes

Parent organization

X-RAY ON WHEELS, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Bridget Dunbar, RN

Title

Coo/Owner

Phone

(361) 881-9142

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Portable X-ray supplier certification: CCN 45X0009818

Legal name

X-RAY ON WHEELS INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Dec 15, 1983

Last certification

May 11, 2022

Ownership / control type

Corporation

Facility address

4929 Burney Drive
Corpus Christi, TX 78411

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• X-Ray on Wheels, Inc.

  • Physiological Laboratory
  • Corpus Christi, TX
  • NPI 1518149624

  2769490648

  Same PAC ID

Tax ID family

X-Ray on Wheels Inc2 organizations share this tax ID, including this one

Part of

X-Ray on Wheels Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• X-Ray on Wheels, Inc.

  • Physiological Laboratory
  • Corpus Christi, TX
  • NPI 1518149624
  NPD tax ID

Practitioners 2

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

• Allen J Duplantis, MD

  • Interventional Cardiology Physician
  • Hannibal, MO
  • NPI 1881784346
  NPD (past)
• David Smith Owens, MD

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1932284833
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1245322627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60577",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784660577",
            "telephone_number": "361-881-9142",
            "fax_number": "361-881-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 BURNEY DR",
            "address_2": "STE #100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112708",
            "telephone_number": "361-881-9142",
            "fax_number": "361-881-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X-RAY ON WHEELS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "X-RAY ON WHEELS, INC.",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "COO/OWNER",
        "authorized_official_telephone_number": "361-881-9142",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "TX",
            "license": "96713",
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "TX",
            "license": "R12988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GBA",
            "identifier": "630000371",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086070202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "459818",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00814456",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086070201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Wright, RNFA
• Yvonne Wright
• David Felix Wu, DO
• Wymer Physical Therapy
• Richard Daniel Wymer, PT
• X-Ray on Wheels, Inc.
• Danny X Xu, DO
• Ke Tom Xu, MD
• Narendra Yallanki, MBBS
• Eric R Yandell

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.