Active NPI
Missouri Valley Radiology LLC
- Diagnostic Radiology Physician
- Pierre, SD
National Provider Identifier
1275553067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MISSOURI VALLEY RADIOLOGY LLC
- Practice address
- 800 E Dakota Ave
Pierre, SD 57501-3313 - Phone
- (605) 224-3199
- Fax
- (605) 945-3237
- NPI assigned
- Jul 21, 2006
- Last updated
- Feb 21, 2013
- 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
- Barry S Monfore, MD
- Title
- Owner and Provider
- Phone
- (605) 224-3199
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
800 E Dakota Ave
Pierre, SD 57501-3313
Mailing address
1601 N Harrison Ave Ste 1B
Pierre, SD 57501-2376
Phone (605) 945-1371
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE5611 | Other | RAILROAD MEDICARE | |
| 10025345700 | Medicaid | NE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Diagnostic Radiology Physician
- Pierre, SD
- NPI 1225051873
-
- Diagnostic Radiology Physician
- Pierre, SD
- NPI 1497801179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361404800000",
"number": "1275553067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 N HARRISON AVE STE 1B",
"city": "PIERRE",
"state": "SD",
"postal_code": "575012376",
"telephone_number": "605-945-1371",
"fax_number": "605-945-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E DAKOTA AVE",
"city": "PIERRE",
"state": "SD",
"postal_code": "575013313",
"telephone_number": "605-224-3199",
"fax_number": "605-945-3237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSOURI VALLEY RADIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2013-02-21",
"status": "A",
"authorized_official_last_name": "MONFORE",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER AND PROVIDER",
"authorized_official_telephone_number": "605-224-3199",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE5611",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025345700",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pierre, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.