Smi Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OTC4689 Issued in AZ

Legal business name

SMI IMAGING, LLC

Practice address

1457 W Southern Ave Ste 26
Mesa, AZ 85202-4862

Phone

(480) 306-6900

Fax

(480) 306-6910

NPI assigned

Sep 3, 2009

Last updated

May 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Howard J Simon, M.D.

Title

President

Phone

(480) 264-2400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SimonMed Imaging - Fiesta Other name

Member of 1

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

• Dignity Health

  dba Mercy Gilbert Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088

  Member Of

  NPD member

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1780817940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7368",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928637368",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 W SOUTHERN AVE STE 26",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024862",
            "telephone_number": "480-306-6900",
            "fax_number": "480-306-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMI IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-264-2400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "OTC4689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472452",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00811052",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SimonMed Imaging - Fiesta",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Smi Imaging LLC (Simonmed Imaging)
• Smi Imaging LLC (Simonmed Imaging)
• Smi Imaging, LLC
• Smi Imaging, LLC
• Smi Imaging, LLC
• Smi Imaging, LLC
• Abigail M Smich, PT, DPT
• Smile Dental Care
• Smile Haus Dental Studio
• Smiles for Special Needs

• Diagnostic Radiology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.