NPIMap

Organization Active NPI

Diagnostic Radiology Veins PC

  • Vascular & Interventional Radiology Physician
  • Dakota Dunes, SD
National Provider Identifier
1760897797
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
DIAGNOSTIC RADIOLOGY VEINS PC
Practice address
345 W Steamboat Dr Ste 401
Dakota Dunes, SD 57049-5287
Phone
(402) 650-9179
Fax
(402) 614-0003
NPI assigned
Jun 28, 2014
Organization subpart
Yes
Parent organization
DIAGNOSTIC RADIOLOGY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Robert Forbes, MDNPI 1760440507
Title
MD/President
Phone
(402) 493-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

345 W Steamboat Dr Ste 401
Dakota Dunes, SD 57049-5287

Mailing address

14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200
Phone (402) 493-1212

Other practice location 1

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-6140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201211001022 SD Part B Supplier - Clinic/Group Practice 4385056563 Receives reassigned benefits from 3 practitioners
Practice locations: Dakota Dunes, SD

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Radiology PC Vein Clinic4 organizations share this tax ID, including this one
Part of
Diagnostic Radiology PC Vein Clinic

Other organizations with this tax ID 3

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

Locations

345 W Steamboat Dr
Ste 401
Dakota Dunes, SD 57049
Phone (605) 217-2195

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1760897797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 FNB PKWY STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681547200",
            "telephone_number": "402-493-1212",
            "fax_number": "866-363-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W STEAMBOAT DR STE 401",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495287",
            "telephone_number": "402-650-9179",
            "fax_number": "402-614-0003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 E Pierce St",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515034626",
            "country_code": "US",
            "telephone_number": "712-396-6140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAGNOSTIC RADIOLOGY VEINS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIAGNOSTIC RADIOLOGY PC",
        "enumeration_date": "2014-06-28",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "402-493-1212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.