NPIMap

Organization Active NPI

Frontier Radiology

  • Radiology Clinic/Center
  • Bastrop, TX
National Provider Identifier
1770076689
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
FRONTIER RADIOLOGY
Practice address
3101 Highway 71E Suite 108
Bastrop, TX 78602
Phone
(512) 332-0222
Fax
(512) 332-0227
NPI assigned
Jun 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
Kevin Owens
Title
Ceo
Phone
(512) 659-4467

Specialties & licenses 1

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

Addresses

Primary practice location

3101 Highway 71E Suite 108
Bastrop, TX 78602

Mailing address

209 Watersong Lane
Georgetown, TX 78628
Phone (512) 659-4467

National Provider Directory

National Provider Directory
Tax ID family
Frontier Radiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1770076689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WATERSONG LANE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78628",
            "telephone_number": "512-659-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 HIGHWAY 71E SUITE 108",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "78602",
            "telephone_number": "512-332-0222",
            "fax_number": "512-332-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-659-4467"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.