Active NPI
Kenneth Usher, MD
- Diagnostic Radiology Physician
- Dallas, TX
National Provider Identifier
1366492431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 23329
- Practice address
- 1441 N Beckley Ave
Dallas, TX 75203-1201 - Phone
- (214) 946-4397
- Fax
- (214) 946-4399
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 23329 | IA | Primary |
Addresses
Primary practice location
1441 N Beckley Ave
Dallas, TX 75203-1201
Mailing address
1750 North Hampton Road
Desoto, TX 75115
Phone (214) 946-4397
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135904409 | Medicaid | TX | |
| 135904407 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23329 | IA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1366492431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 NORTH HAMPTON ROAD",
"city": "DESOTO",
"state": "TX",
"postal_code": "75115",
"telephone_number": "214-946-4397",
"fax_number": "214-946-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 N BECKLEY AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031201",
"telephone_number": "214-946-4397",
"fax_number": "214-946-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USHER",
"first_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "23329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135904409",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135904407",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
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- USA Vein Clinics of Dallas PLLC
- Claire Usala
- Ushindi, Inc (Twin Cities Medical Management)
- Hannah Usie, MD
- Usman Afzal PLLC
- Muhammad Shariq Usman, MD
- Shajie Ur Rehman Usmani, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.