Active NPI
Denric Columbus East LLC
- Diagnostic Radiology Physician
- Columbus, OH
National Provider Identifier
1487652913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00134356 | Other | OH | RR MEDICARE NUMBER |
| 2550556 | Medicaid | OH | |
| 000000297527 | Other | OH | BC/BS GROUP PIN NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.