Active NPI
Century Radiation Oncology PLLC
- Radiation Oncology Physician
- Houston, TX
National Provider Identifier
1255569679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- K9353
- Legal business name
- CENTURY RADIATION ONCOLOGY PLLC
- Practice address
- 9150 S Main St
Suite a-3
Houston, TX 77025-3843 - Phone
- (713) 630-8161
- NPI assigned
- Jun 24, 2009
- 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. Sanjay C Mehta, MD
- Title
- Owner
- Phone
- (713) 630-8161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | K9353 | TX | Primary |
Addresses
Primary practice location
9150 S Main St
Suite a-3
Houston, TX 77025-3843
Mailing address
6565 West Loop S
Suite 400
Bellaire, TX 77401-3500
Phone (713) 589-6879
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152402701 | Medicaid | TX | |
| 1316009806 | Other | TX | NPI |
National Provider Directory
National Provider DirectoryLocations
9150 Main St
Ste A3
Houston, TX 77025
Phone (713) 630-8181
200 Andover Park E
Ste 13
Tukwila, WA 98188
Phone (206) 922-6400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361836800000",
"number": "1255569679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 WEST LOOP S",
"address_2": "SUITE 400",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013500",
"telephone_number": "713-589-6879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 S MAIN ST",
"address_2": "SUITE A-3",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770253843",
"telephone_number": "713-630-8161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTURY RADIATION ONCOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-24",
"last_updated": "2013-02-26",
"status": "A",
"authorized_official_last_name": "MEHTA",
"authorized_official_first_name": "SANJAY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-630-8161",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "K9353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152402701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1316009806",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.