Active NPI
Cone-Beam Consultants LLC
Doing business as Cone-Beam Consultants
- Diagnostic Radiology Physician
- Mountain Green, UT
National Provider Identifier
1619734241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CONE-BEAM CONSULTANTS LLC
- Doing business as
- Cone-Beam Consultants
- Practice address
- 3240 W Oxford Loop
Mountain Green, UT 84050-6503 - Phone
- (801) 200-9175
- Fax
- (801) 797-9154
- NPI assigned
- Feb 29, 2024
- Last updated
- Sep 13, 2024
- 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
- Richard Blaire Willis
- Title
- M.D.
- Phone
- (801) 200-9175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3240 W Oxford Loop
Mountain Green, UT 84050-6503
Mailing address
3240 W Oxford Loop
Mountain Green, UT 84050-6503
Phone (801) 200-9175
Other practice location 1
2120 S 700 E Ste I
Salt Lake City, UT 84106-2568
Phone (801) 200-9175
Other names 1
- Cone-Beam Consultants
National Provider Directory
National Provider DirectoryLocations
2120 S 700 E
Ste I
Salt Lake City, UT 84106
Phone (385) 257-9303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726185600000",
"number": "1619734241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3240 W OXFORD LOOP",
"city": "MOUNTAIN GREEN",
"state": "UT",
"postal_code": "840506503",
"telephone_number": "801-200-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 W OXFORD LOOP",
"city": "MOUNTAIN GREEN",
"state": "UT",
"postal_code": "840506503",
"telephone_number": "801-200-9175",
"fax_number": "801-797-9154"
}
],
"practiceLocations": [
{
"address_1": "2120 S 700 E Ste I",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841062568",
"country_code": "US",
"telephone_number": "801-200-9175",
"fax_number": "801-797-9154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CONE-BEAM CONSULTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-29",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "BLAIRE",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "801-200-9175"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cone-Beam Consultants",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mountain Green, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.