Organization Active NPI

Silver Bullet Scanning Service LLC

  • Sonography Specialist/Technologist Cardiovascular
  • Harrison, AR
National Provider Identifier
1528079316
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
10541 Issued in AR
Legal business name
SILVER BULLET SCANNING SERVICE LLC
Practice address
1501 W Stephenson Ave
Harrison, AR 72601-3915
Phone
(870) 715-2802
Fax
(870) 741-6853
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Mr. Larry L. Horton, RDMS/RVT/RDCS
Title
Owner
Phone
(870) 715-2802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193400000X SINGLE SPECIALTY GROUP 246XS1301X 10541 AR Primary

Addresses

Primary practice location

1501 W Stephenson Ave
Harrison, AR 72601-3915

Mailing address

1501 W Stephenson Ave
Harrison, AR 72601-3915
Phone (870) 715-2802

Other identifiers 1

IdentifierTypeStateIssuer
148708741OtherARAR. MEDICAID CROSSOVER #

Other names 1

  • Silver Bullet Imaging Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090924000470 AR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0648326116 Practice locations: Harrison, AR

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1528079316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W STEPHENSON AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013915",
            "telephone_number": "870-715-2802",
            "fax_number": "870-741-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W STEPHENSON AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013915",
            "telephone_number": "870-715-2802",
            "fax_number": "870-741-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER BULLET SCANNING SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-715-2802",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDMS/RVT/RDCS"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "AR",
            "license": "10541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR. MEDICAID CROSSOVER #",
            "identifier": "148708741",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Bullet Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.