Organization Active NPI

Radiological Consultants Association

  • Diagnostic Radiology Physician
  • Desoto, TX
National Provider Identifier
1336188911
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGICAL CONSULTANTS ASSOCIATION
Practice address
1750 N Hampton Rd
Desoto, TX 75115-2306
Phone
(214) 946-4397
NPI assigned
Jun 6, 2006
Last updated
Sep 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Travis Van Meter, MD
Title
Treasurer
Phone
(214) 420-5460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1750 N Hampton Rd
Desoto, TX 75115-2306

Mailing address

1750 N Hampton Rd
Desoto, TX 75115-2306
Phone (214) 420-5400

Other identifiers 1

IdentifierTypeStateIssuer
112582501MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1336188911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152306",
            "telephone_number": "214-420-5400",
            "fax_number": "214-420-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152306",
            "telephone_number": "214-946-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGICAL CONSULTANTS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "VAN METER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "214-420-5460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112582501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.