Organization Active NPI

Gemini Digital Imaging

  • Diagnostic Radiology Physician
  • Mesquite, TX
National Provider Identifier
1447284575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R22790 Issued in TX
Legal business name
GEMINI DIGITAL IMAGING
Practice address
2704 N Galloway Ave
Suite 100
Mesquite, TX 75150-6378
Phone
(972) 682-6655
Fax
(972) 682-6679
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nik Mahtani
Title
Cfo
Phone
(972) 682-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X R22790 TX Primary

Addresses

Primary practice location

2704 N Galloway Ave
Suite 100
Mesquite, TX 75150-6378

Mailing address

2704 N Galloway Ave
Suite 100
Mesquite, TX 75150-6378
Phone (972) 682-6655

Other identifiers 1

IdentifierTypeStateIssuer
0201DCOtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447284575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N GALLOWAY AVE",
            "address_2": "SUITE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506378",
            "telephone_number": "972-682-6655",
            "fax_number": "972-682-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N GALLOWAY AVE",
            "address_2": "SUITE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506378",
            "telephone_number": "972-682-6655",
            "fax_number": "972-682-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMINI DIGITAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHTANI",
        "authorized_official_first_name": "NIK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-682-6655"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R22790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0201DC",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.