Organization Active NPI

Crown Imaging, LLC

  • Radiology Clinic/Center
  • Dallas, TX
National Provider Identifier
1275860652
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CROWN IMAGING, LLC
Practice address
7515 Greenville Ave
Suite 200
Dallas, TX 75231-3831
Phone
(972) 759-5140
Fax
(972) 759-5150
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Mr. Clifton Colin Berry
Title
Manager
Phone
(972) 759-5140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

7515 Greenville Ave
Suite 200
Dallas, TX 75231-3831

Mailing address

7515 Greenville Ave
Suite 200
Dallas, TX 75231-3831
Phone (972) 759-5140

Other names 1

  • Crown Imaging Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190920000648 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2961732748 Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1106337Crown Imaging7515 Greenville Avenue, Suite 200, Dallas, TX 75231Certificate of waiverOct 8, 2027

National Provider Directory

National Provider Directory

Locations

7515 Greenville Ave
Ste 200
Dallas, TX 75231
Phone (214) 445-6970

Practitioners & affiliated clinicians

Practitioners 1

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": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1275860652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313831",
            "telephone_number": "972-759-5140",
            "fax_number": "972-759-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313831",
            "telephone_number": "972-759-5140",
            "fax_number": "972-759-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "COLIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-759-5140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.