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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- 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, 2025
- 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
- Bruce Allen Johnson
- Title
- VP-Ao
- Phone
- (303) 589-4149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630000003 | Other | MN | MEDICAREPIN |
Other names 2
- Professional Portable X-ray, Inc.
- PPX
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba DispatchHealth
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1164920252
Member Of
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.
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1578539557
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"
}
]
}
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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.