NPIMap

Organization Active NPI

Ben-Ora, Hansen, & Vanesian Imaging

  • Mammography Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1629345707
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
BEN-ORA, HANSEN, & VANESIAN IMAGING
Practice address
11220 N Tatum Blvd Ste 105
Phoenix, AZ 85028-1629
Phone
(602) 493-0204
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Natalie Kehm
Title
Manager
Phone
(469) 398-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X Primary

Addresses

Primary practice location

11220 N Tatum Blvd Ste 105
Phoenix, AZ 85028-1629

Mailing address

15601 Dallas Pkwy
Suite 500
Addison, TX 75001-3353
Phone (469) 398-4100

Other names 1

  • Solis BenOra Mammography Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623000473 AZ Part B Supplier - Clinic/Group Practice 0648255620 Receives reassigned benefits from 18 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Litchfield Park, AZ; Glendale, AZ; Chandler, AZ

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ben Ora Hansen Vanesian Imaging LTD Dba Solis Ben Ora Mammography5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11220 N Tatum Blvd
Ste 105
Phoenix, AZ 85028
Phone (602) 234-2601

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1629345707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 DALLAS PKWY",
            "address_2": "SUITE 500",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013353",
            "telephone_number": "469-398-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 N TATUM BLVD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281629",
            "telephone_number": "602-493-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN-ORA, HANSEN, & VANESIAN IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "KEHM",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-398-4100"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solis BenOra Mammography",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.