Organization Active NPI

The Imaging Center, LLC

Doing business as Dakota PET CT and MRI

  • Diagnostic Radiology Physician
  • Rapid City, SD
National Provider Identifier
1306892708
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
THE IMAGING CENTER, LLC
Doing business as
Dakota PET CT and MRI
Practice address
2929 5TH St Ste 100
Rapid City, SD 57701-7355
Phone
(605) 721-1670
Fax
(605) 721-8805
NPI assigned
May 26, 2006
Last updated
Aug 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Dr. Brian Baxter, MDNPI 1952368813
Title
Authorized Official
Phone
(605) 380-8060

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

2929 5TH St Ste 100
Rapid City, SD 57701-7355

Mailing address

PO Box 860210
Minneapolis, MN 55486-0210
Phone (605) 342-2852

Other identifiers 1

IdentifierTypeStateIssuer
1306892708MedicaidSD

Other names 1

  • Dakota PET CT and MRI Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070626000049 SD Part B Supplier - Clinic/Group Practice 0345347803 Receives reassigned benefits from 20 practitioners
Practice locations: Rapid City, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1306892708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860210",
            "telephone_number": "605-342-2852",
            "fax_number": "605-342-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 5TH ST STE 100",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017355",
            "telephone_number": "605-721-1670",
            "fax_number": "605-721-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "605-380-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306892708",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota PET CT and MRI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dakota PET CT and MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.