Organization Active NPI

Magical Moments 3D 4D Imaging

  • Body Imaging Physician
  • Saint Louis, MO
National Provider Identifier
1811723588
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
MAGICAL MOMENTS 3D 4D IMAGING
Practice address
5457 Dresden Ave
Saint Louis, MO 63116-1256
Phone
(314) 798-4633
NPI assigned
Sep 10, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Alichia Britton
Title
Owner
Phone
(314) 798-4633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X NU Primary

Addresses

Primary practice location

5457 Dresden Ave
Saint Louis, MO 63116-1256

Mailing address

5457 Dresden Ave
Saint Louis, MO 63116-1256

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1811723588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 DRESDEN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 DRESDEN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161256",
            "telephone_number": "314-798-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGICAL MOMENTS 3D 4D IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "ALICHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-798-4633"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.