NPIMap

Organization Active NPI

3D Imaging Center, LLC

  • Radiology Clinic/Center
  • Caledonia, MI
National Provider Identifier
1760717995
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
3D IMAGING CENTER, LLC
Practice address
9041 N Rodgers CT SE Ste B
Caledonia, MI 49316-7660
Phone
(616) 891-7672
Fax
(616) 891-9803
NPI assigned
Oct 6, 2009
Last updated
Oct 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Dr. Robin T. Vaughan, DDSNPI 1689681322
Title
Dentist
Phone
(616) 891-8931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X MI Primary

Addresses

Primary practice location

9041 N Rodgers CT SE Ste B
Caledonia, MI 49316-7660

Mailing address

9041 N Rodgers CT SE Ste B
Caledonia, MI 49316-7660
Phone (616) 891-7672

National Provider Directory

National Provider Directory

Locations

9041 N Rodgers Ct SE
Ste B
Caledonia, MI 49316
Phone (616) 891-7672

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": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1760717995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 N RODGERS CT SE STE B",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167660",
            "telephone_number": "616-891-7672",
            "fax_number": "616-891-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 N RODGERS CT SE STE B",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167660",
            "telephone_number": "616-891-7672",
            "fax_number": "616-891-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-891-8931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.