Superior Radiology Consultants LLC

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

006698 Issued in MO

Legal business name

SUPERIOR RADIOLOGY CONSULTANTS LLC

Practice address

19101 E Valley View Pkwy
Suite J
Independence, MO 64055-6904

Phone

(816) 795-0300

NPI assigned

Jan 25, 2012

Last updated

Jan 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Stiles, DC, DACBRNPI 1922069830

Title

President

Phone

(816) 795-0300

Specialties & licenses 1

Addresses

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.

• Benjamin Otto Stiles, D.C.

  • Radiology Chiropractor
  • Independence, MO
  • NPI 1922069830
  Authorized official Same address or phone

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1245501089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19101 E VALLEY VIEW PKWY",
            "address_2": "SUITE J",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556904",
            "telephone_number": "816-795-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19101 E VALLEY VIEW PKWY",
            "address_2": "SUITE J",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556904",
            "telephone_number": "816-795-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR RADIOLOGY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-795-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DACBR"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "MO",
            "license": "006698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Chiropractor in Independence, MO
• Providers in Independence, MO by specialty
• Radiology Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.