Active NPI
Medical Xray Center PC
- Diagnostic Radiology Physician
- Sioux Falls, SD
National Provider Identifier
1326187477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MEDICAL XRAY CENTER PC
- Practice address
- 1417 S Minnesota Ave
Sioux Falls, SD 57105-1715 - Phone
- (605) 336-0517
- Fax
- (605) 336-2874
- NPI assigned
- Feb 5, 2007
- Last updated
- Oct 25, 2007
- 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
- Mr. Gerald Lloyd Larson
- Title
- Business Administrator
- Phone
- (605) 731-7522
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1417 S Minnesota Ave
Sioux Falls, SD 57105-1715
Mailing address
1417 S Minnesota Ave
Sioux Falls, SD 57105-1715
Phone (605) 336-0517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7202240 | Medicaid | SD |
National Provider Directory
National Provider DirectoryLocations
917 N Washington Ave
Madison, SD 57042
Phone (605) 256-6551
800 E 21st St
#300
Sioux Falls, SD 57105
Phone (605) 734-5511
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.
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1699737031
-
- Chiropractor
- Marion, SD
- NPI 1447234257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193270400000",
"number": "1326187477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051715",
"telephone_number": "605-336-0517",
"fax_number": "605-336-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051715",
"telephone_number": "605-336-0517",
"fax_number": "605-336-2874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL XRAY CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2007-10-25",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "LLOYD",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "605-731-7522",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7202240",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.