Active NPI
Silver Bullet Scanning Service LLC
- Sonography Specialist/Technologist Cardiovascular
- Harrison, AR
National Provider Identifier
1528079316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Specialist/Technologist Cardiovascular
- License
- 10541
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148708741 | Other | AR | AR. MEDICAID CROSSOVER # |
Other names 1
- Silver Bullet Imaging
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090924000470 | AR | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0648326116 | Practice locations: Harrison, AR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Pine Bluff, AR
- NPI 1154364545
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.