Organization Active NPI

Advanced Imaging Reno

  • Diagnostic Radiology Physician
  • Reno, NV
National Provider Identifier
1588499040
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED IMAGING RENO
Practice address
5420 Kietzke LN Ste 108
Reno, NV 89511-2063
Phone
(775) 507-3331
Fax
(775) 540-5988
NPI assigned
Sep 4, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Randall Gates, DCNPI 1255633830
Title
Owner
Phone
(775) 413-3263

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
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

5420 Kietzke LN Ste 108
Reno, NV 89511-2063

Mailing address

5420 Kietzke LN Ste 209
Reno, NV 89511-2062
Phone (775) 507-3331

National Provider Directory

National Provider Directory

Locations

5420 Kietzke Ln
Ste 108
Reno, NV 89511
Phone (775) 507-3331

5420 Kietzke Ln
Ste 209
Reno, NV 89511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1588499040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 KIETZKE LN STE 209",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112062",
            "telephone_number": "775-507-3331",
            "fax_number": "775-540-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 KIETZKE LN STE 108",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112063",
            "telephone_number": "775-507-3331",
            "fax_number": "775-540-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING RENO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-413-3263",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.