Organization Active NPI

Ken-Ton Open MRI PC

  • Diagnostic Radiology Physician
  • Kenmore, NY
National Provider Identifier
1427004399
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
KEN-TON OPEN MRI PC
Practice address
2882 Elmwood Ave
Kenmore, NY 14217-1325
Phone
(716) 876-7000
NPI assigned
May 25, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Donna Forcier
Title
Practice Manager
Phone
(716) 855-2866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

2882 Elmwood Ave
Kenmore, NY 14217-1325

Mailing address

2882 Elmwood Ave
Kenmore, NY 14217-1325
Phone (716) 876-7000

Other identifiers 1

IdentifierTypeStateIssuer
02868573MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1078213Ken-Ton Open MRI2882 Elmwood Avenue, Kenmore, NY 14217Certificate of waiverJan 3, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1427004399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2882 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171325",
            "telephone_number": "716-876-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171325",
            "telephone_number": "716-876-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN-TON OPEN MRI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "FORCIER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "716-855-2866"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02868573",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.