Organization Active NPI

Cone-Beam Consultants LLC

Doing business as Cone-Beam Consultants

  • Diagnostic Radiology Physician
  • Mountain Green, UT
National Provider Identifier
1619734241
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.