Dynamic X-Ray Inc.

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Legal business name

DYNAMIC X-RAY INC.

Practice address

4230 LBJ Fwy
Ste, 111
Dallas, TX 75244-5806

Phone

(972) 352-7260

NPI assigned

Sep 23, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Benny J. IllickalNPI 1740682673

Title

Owner

Phone

(972) 352-7260

Specialties & licenses 5

Addresses

Locations

Practitioners 1

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

• Benny Illickal

  • Diagnostic Radiology Physician
  • Sunnyvale, TX
  • NPI 1740682673
  NPD (past) Authorized official

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1811399678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 STONE MOUNTAIN DR",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751822655",
            "telephone_number": "972-352-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 LBJ FWY",
            "address_2": "STE, 111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445806",
            "telephone_number": "972-352-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC X-RAY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "ILLICKAL",
        "authorized_official_first_name": "BENNY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-352-7260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Marie Dyess, RN, WHNP-BC
• Veronica Dyke
• John Russel Dykema III, M.D.
• Robert Dykeman, DPT
• Jean Ann Dymott, MD
• Dynamo Dna Solutions
• Sandra Dyo, R.PH
• Niels-Jorgen Dyrved, MD
• Peter Allen Dysert, M.D.
• Teressa Annette Dyson, CRNA

• Radiologic Technologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.