NPIMap

Organization Active NPI

North Carolina Digital Imaging, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Winston Salem, NC
National Provider Identifier
1780637751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
NORTH CAROLINA DIGITAL IMAGING, INC
Practice address
1317 Ashleybrook LN
Winston Salem, NC 27103-2918
Phone
(336) 245-2670
Fax
(336) 245-2017
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Durward A Smith Jr.
Title
President
Phone
(336) 245-2670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X NC Primary

Addresses

Primary practice location

1317 Ashleybrook LN
Winston Salem, NC 27103-2918

Mailing address

1317 Ashleybrook LN
Winston Salem, NC 27103-2918
Phone (336) 245-2670

Other identifiers 4

IdentifierTypeStateIssuer
805979OtherNCPARTNERS MEDICARE CHOICE
016XFOtherNCBLUE CROSS AND BLUE SHIEL
P00193196OtherNCRAILROAD MEDICARE
3409804MedicaidNC

National Provider Directory

National Provider Directory

Locations

1317 Ashleybrook Ln
Winston Salem, NC 27103
Phone (336) 245-2670

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780637751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ASHLEYBROOK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032918",
            "telephone_number": "336-245-2670",
            "fax_number": "336-245-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 ASHLEYBROOK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032918",
            "telephone_number": "336-245-2670",
            "fax_number": "336-245-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA DIGITAL IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DURWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-245-2670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE CHOICE",
            "identifier": "805979",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "016XF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00193196",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409804",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.