NPIMap

Organization Active NPI

White River Imaging, LLC

Doing business as Omaha Imaging

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1740248434
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WHITE RIVER IMAGING, LLC
Doing business as
Omaha Imaging
Practice address
501 N 87TH St
Suite 100
Omaha, NE 68114-2881
Phone
(402) 397-7100
Fax
(402) 505-6949
NPI assigned
May 2, 2006
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Robert John Forbes, M.D.
Title
Radiologist
Phone
(402) 397-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

501 N 87TH St
Suite 100
Omaha, NE 68114-2881

Mailing address

501 N 87TH St
Suite 100
Omaha, NE 68114-2881
Phone (402) 397-7100

Other identifiers 2

IdentifierTypeStateIssuer
0585794MedicaidIA
10025186700MedicaidNE

Other names 1

  • Omaha Imaging Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Locations

3512 Samson Way
Bellevue, NE 68123
Phone (402) 829-1192

501 N 87th St
#100
Omaha, NE 68114
Phone (402) 397-7100

Practitioners & affiliated clinicians

Practitioners 9

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": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1740248434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 87TH ST",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142881",
            "telephone_number": "402-397-7100",
            "fax_number": "402-505-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 87TH ST",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142881",
            "telephone_number": "402-397-7100",
            "fax_number": "402-505-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "402-397-7100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0585794",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025186700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omaha Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.