Organization Active NPI

Professional Portable Radiologic Services, Inc.

Doing business as Professional Portable X-ray, Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Sioux Falls, SD
National Provider Identifier
1679864458
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.
Doing business as
Professional Portable X-ray, Inc.
Practice address
27065 Sunrise Ave.
Unit A1
Sioux Falls, SD 57106-5915
Phone
(866) 895-2119
Fax
(952) 890-9025
NPI assigned
Apr 27, 2011
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Bruce Allen Johnson
Title
VP-Ao
Phone
(303) 589-4149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X SD Primary

Addresses

Primary practice location

27065 Sunrise Ave.
Unit A1
Sioux Falls, SD 57106-5915

Mailing address

755 Cliff Rd E
Burnsville, MN 55337-1545
Phone (866) 895-2119

Other identifiers 1

IdentifierTypeStateIssuer
630000003OtherMNMEDICAREPIN

Other names 2

  • Professional Portable X-ray, Inc. Doing business as
  • PPX Other name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

755 Cliff Rd E
Burnsville, MN 55337
Phone (303) 505-1518

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": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1679864458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 CLIFF RD E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371545",
            "telephone_number": "866-895-2119",
            "fax_number": "952-890-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27065 SUNRISE AVE.",
            "address_2": "UNIT A1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571065915",
            "telephone_number": "866-895-2119",
            "fax_number": "952-890-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "VP-AO",
        "authorized_official_telephone_number": "303-589-4149"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAREPIN",
            "identifier": "630000003",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Portable X-ray, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Portable X-ray, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PPX",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.