Organization Active NPI

Professional Radiology Services, P.a.

  • Specialist
  • Dodge City, KS
National Provider Identifier
1316059819
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PROFESSIONAL RADIOLOGY SERVICES, P.A.
Practice address
2004 1St Ave Ste a
Dodge City, KS 67801-2697
Phone
(620) 225-1033
Fax
(620) 227-8491
NPI assigned
Aug 31, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
James E Nixon, MDNPI 1063465011
Title
President
Phone
(620) 225-1033

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)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

2004 1St Ave Ste a
Dodge City, KS 67801-2697

Mailing address

2004 1St Ave Ste a
Dodge City, KS 67801-2697
Phone (620) 225-1033

Other identifiers 1

IdentifierTypeStateIssuer
CS8790OtherKSMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

2004 1st Ave
Ste A
Dodge City, KS 67801
Phone (320) 225-1033

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1316059819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 1ST AVE STE A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012697",
            "telephone_number": "620-225-1033",
            "fax_number": "620-227-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 1ST AVE STE A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012697",
            "telephone_number": "620-225-1033",
            "fax_number": "620-227-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RADIOLOGY SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-225-1033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CS8790",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.