NPIMap

Organization Active NPI

Digital Radiology Services, LLC

  • Specialist
  • Wichita, KS
National Provider Identifier
1386678076
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DIGITAL RADIOLOGY SERVICES, LLC
Practice address
2021 N Amidon Ave
Suite 13
Wichita, KS 67203-2100
Phone
(316) 832-1442
Fax
(316) 219-2990
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Mr. Alan L Burke
Title
Ceo
Phone
(316) 832-1442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2021 N Amidon Ave
Suite 13
Wichita, KS 67203-2100

Mailing address

PO Box 1179
Wichita, KS 67201-1179
Phone (316) 832-1442

Other identifiers 2

IdentifierTypeStateIssuer
110948OtherKSBLUE CROSS BLUE SHIELD
200251060AMedicaidKS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1386678076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1179",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011179",
            "telephone_number": "316-832-1442",
            "fax_number": "316-219-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N AMIDON AVE",
            "address_2": "SUITE 13",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032100",
            "telephone_number": "316-832-1442",
            "fax_number": "316-219-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITAL RADIOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-832-1442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110948",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200251060A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.