Organization Active NPI

Denric Columbus East LLC

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1487652913
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DENRIC COLUMBUS EAST LLC
Practice address
6465 E Broad St
Ste 210
Columbus, OH 43213-1576
Phone
(614) 860-0930
NPI assigned
Jul 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Deny Radefeld
Title
Ceo
Phone
(254) 933-9351

Specialties & licenses 1

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

Addresses

Primary practice location

6465 E Broad St
Ste 210
Columbus, OH 43213-1576

Mailing address

PO Box 633849
Cincinnati, OH 45263-3849
Phone (866) 287-3726

Other identifiers 3

IdentifierTypeStateIssuer
P00134356OtherOHRR MEDICARE NUMBER
2550556MedicaidOH
000000297527OtherOHBC/BS GROUP PIN NUMBER

National Provider Directory

National Provider Directory

Locations

6465 E Broad St
Ste 2
Columbus, OH 43213
Phone (614) 860-0930

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487652913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633849",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452633849",
            "telephone_number": "866-287-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 E BROAD ST",
            "address_2": "STE 210",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131576",
            "telephone_number": "614-860-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENRIC COLUMBUS EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RADEFELD",
        "authorized_official_first_name": "DENY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-933-9351"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE NUMBER",
            "identifier": "P00134356",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2550556",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP PIN NUMBER",
            "identifier": "000000297527",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.