Organization Active NPI

DKT LLC

  • Radiology Clinic/Center
  • Henderson, NV
National Provider Identifier
1518081827
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
03-04-3124-01 Issued in NV
Legal business name
DKT LLC
Doing business as
Optima Imaging Group
Practice address
600 Whitney Ranch Dr
Ste B9
Henderson, NV 89014-2611
Phone
(702) 982-0150
Fax
(702) 982-0145
NPI assigned
Mar 19, 2007
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
Tarak Patel
Title
President
Phone
(702) 982-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 03-04-3124-01 NV Primary

Addresses

Primary practice location

600 Whitney Ranch Dr
Ste B9
Henderson, NV 89014-2611

Mailing address

600 Whitney Ranch Dr
Ste B9
Henderson, NV 89014-2611
Phone (702) 982-0150

Other names 1

  • Optima Imaging Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518081827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WHITNEY RANCH DR",
            "address_2": "STE B9",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142611",
            "telephone_number": "702-982-0150",
            "fax_number": "702-982-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WHITNEY RANCH DR",
            "address_2": "STE B9",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142611",
            "telephone_number": "702-982-0150",
            "fax_number": "702-982-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TARAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-982-0150"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NV",
            "license": "03-04-3124-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optima Imaging Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

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.