Active NPI
Richard L. Vanesian, M.D.
- Diagnostic Radiology Physician
- Phoenix, AZ
National Provider Identifier
1629014949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 21283
- Practice address
- 1313 E Osborn Rd
Ste. 213
Phoenix, AZ 85014-5678 - Phone
- (602) 234-2601
- Fax
- (602) 234-3183
- NPI assigned
- Jun 22, 2006
- Last updated
- May 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 21283 | AZ | Primary |
Addresses
Primary practice location
1313 E Osborn Rd
Ste. 213
Phoenix, AZ 85014-5678
Mailing address
8401 Jack Finney Blvd
Greenville, TX 75402-3017
Phone (800) 945-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118027145 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21283 | AZ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben-Ora Hansen & Vanesian Imaging LTD | Diagnostic Radiology | Past | Accepting new patients |
| Ben-Ora, Hansen, & Vanesian Imaging | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Solis Mammography
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1518004290
-
dba Solis BenOra Mammography
- Mammography Clinic/Center
- Phoenix, AZ
- NPI 1629345707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1629014949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 JACK FINNEY BLVD",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754023017",
"telephone_number": "800-945-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 E OSBORN RD",
"address_2": "STE. 213",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145678",
"telephone_number": "602-234-2601",
"fax_number": "602-234-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANESIAN",
"first_name": "RICHARD",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "21283",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118027145",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.