Organization Active NPI

Central Park Imaging Center, LTD.

  • Radiology Clinic/Center
  • Austin, TX
National Provider Identifier
1558329680
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CENTRAL PARK IMAGING CENTER, LTD.
Practice address
900 W 38TH St
Suite 100
Austin, TX 78705-1127
Phone
(512) 501-3840
Fax
(512) 501-3841
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Dr. Cristin A Dickerson, MDNPI 1588640148
Title
Medical Director
Phone
(512) 501-3840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

900 W 38TH St
Suite 100
Austin, TX 78705-1127

Mailing address

900 W 38TH St
Suite 100
Austin, TX 78705-1127
Phone (512) 501-3840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031113000432 TX Part B Supplier - Clinic/Group Practice 7618881715 Receives reassigned benefits from 6 practitioners
Practice locations: Austin, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2304393Central Park Imaging Center, LTD900 West 38TH St. Suite 100, Austin, TX 78705Certificate of waiverMay 12, 2028

National Provider Directory

National Provider Directory

Locations

2600 E Mlk Blvd
Austin, TX 78702
Phone (512) 334-2600

6500 N Mopac Expy
Bldg 2
Austin, TX 78731
Phone (512) 343-1878

631 W 38th St
Ste 3
Austin, TX 78705
Phone (512) 459-1238

1401 Medical Pkwy
Ste 125
Cedar Park, TX 78613
Phone (512) 623-5299

2000 Scenic Dr
Ste G2
Georgetown, TX 78626
Phone (512) 531-5200

Practitioners & affiliated clinicians

Practitioners 6

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": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1558329680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 38TH ST",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051127",
            "telephone_number": "512-501-3840",
            "fax_number": "512-501-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 38TH ST",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051127",
            "telephone_number": "512-501-3840",
            "fax_number": "512-501-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK IMAGING CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "CRISTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-501-3840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.