NPIMap

Individual provider Active NPI

David Dean Diment, MD

  • Diagnostic Radiology Physician
  • Fort Smith, AR
National Provider Identifier
1285600510
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R4168 Issued in AR
Practice address
5707 Jenny Lind Rd
Fort Smith, AR 72908-7435
Phone
(479) 452-9416
Fax
(479) 484-0827
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R4168 AR Primary

Addresses

Primary practice location

5707 Jenny Lind Rd
Fort Smith, AR 72908-7435

Mailing address

PO Box 3887
Fort Smith, AR 72913-3887
Phone (479) 452-9416

Other identifiers 2

IdentifierTypeStateIssuer
118592001MedicaidAR
100130540AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000485 AR Practitioner - Diagnostic Radiology 2365496304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologists PAGroup PAC ID 9830140607, 20 clinicians

Practice addresses (Care Compare)

5707 Jenny Lind Rd
Fort Smith, AR 72908-7435
Phone 4794529416101

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Mercy Hospital Paris Hospital, Paris, AR, CCN 041300
  • Mercy Hospital Booneville Hospital, Booneville, AR, CCN 041318
  • Mercy Hospital Waldron Hospital, Waldron, AR, CCN 041305
  • Mercy Hospital Ozark Hospital, Ozark, AR, CCN 041303

Merit-based Incentive Payment System (MIPS)

Final score
90.96 of 100Reported as group
Quality
99.75
Improvement activities
40
Cost
70.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R4168ARMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Medical Imaging, a Division of Radiologists, P.a. Diagnostic Radiology Current Accepting new patients
Radiologists PA Diagnostic Radiology CurrentSince Jan 1, 1969 Accepting new patients
Radiology Services P a Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Andre J. Nolewajka, MD, PA Past Accepting new patients

Locations

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

1501 S Waldron Rd
Ste 109
Fort Smith, AR 72903
Phone (479) 242-3310

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone 4794529416101

320 S 9th St
Van Buren, AR 72956
Phone (479) 474-1616

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1285600510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3887",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729133887",
            "telephone_number": "479-452-9416",
            "fax_number": "479-484-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087435",
            "telephone_number": "479-452-9416",
            "fax_number": "479-484-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMENT",
        "first_name": "DAVID",
        "middle_name": "DEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "R4168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118592001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100130540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.