Individual provider Active NPI

Francis C Ogbonna

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Cedar Hill, TX
National Provider Identifier
1790701415
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
R28642 Issued in TX
Practice address
332 Beechwood LN
Cedar Hill, TX 75104-2977
Phone
(972) 322-0048
Fax
(972) 298-2909
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X R28642 TX Primary

Addresses

Primary practice location

332 Beechwood LN
Cedar Hill, TX 75104-2977

Mailing address

332 Beechwood LN
Cedar Hill, TX 75104-2977
Phone (972) 322-0048

Other identifiers 1

IdentifierTypeStateIssuer
179608801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R28642TXMDPortable X-ray and/or Other Portable Diagnostic Imaging Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
All Saints Homecare Medical Supply Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1790701415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 BEECHWOOD LN",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042977",
            "telephone_number": "972-322-0048",
            "fax_number": "972-298-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 BEECHWOOD LN",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042977",
            "telephone_number": "972-322-0048",
            "fax_number": "972-298-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBONNA",
        "first_name": "FRANCIS",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "TX",
            "license": "R28642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179608801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.