NPIMap

Organization Active NPI

Cda Ultrasound, Inc.

  • Sonography Radiologic Technologist
  • Coeur D Alene, ID
National Provider Identifier
1265989172
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
ARDMS52476 Issued in CA
Legal business name
CDA ULTRASOUND, INC.
Practice address
2201 N Government Way
Suite J
Coeur D Alene, ID 83814-3658
Phone
(208) 261-2520
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Travis Armstrong, RDMS, RVTNPI 1669929840
Title
Ceo
Phone
(208) 771-3882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471S1302X ARDMS52476 CA Primary
Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471S1302X ARDMS79341 NY
Vascular Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471V0105X ARDMS52476 CA

Addresses

Primary practice location

2201 N Government Way
Suite J
Coeur D Alene, ID 83814-3658

Mailing address

2201 N Government Way
Suite J
Coeur D Alene, ID 83814-3658
Phone (208) 261-2520

Other names 1

  • Coeur d'Alene Ultrasound Doing business as

National Provider Directory

National Provider Directory

Locations

2201 N Government Way
Ste J
Coeur D Alene, ID 83814
Phone (208) 261-2520

Practitioners & affiliated clinicians

Practitioners 2

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": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1265989172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N GOVERNMENT WAY",
            "address_2": "SUITE J",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143658",
            "telephone_number": "208-261-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N GOVERNMENT WAY",
            "address_2": "SUITE J",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143658",
            "telephone_number": "208-261-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDA ULTRASOUND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-771-3882",
        "authorized_official_credential": "RDMS, RVT"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "CA",
            "license": "ARDMS52476",
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NY",
            "license": "ARDMS79341",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "CA",
            "license": "ARDMS52476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coeur d'Alene Ultrasound",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.