Organization Active NPI

Trueform Imaging and Wellness LLC

  • Body Imaging Physician
  • Grapevine, TX
National Provider Identifier
1821937012
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
TRUEFORM IMAGING AND WELLNESS LLC
Practice address
4100 Heritage Ave Ste 107
Grapevine, TX 76051-5716
Phone
(214) 506-3464
Fax
(214) 614-7500
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Steven RichardsonNPI 1194674341
Title
Owner/Radiology Technologist
Phone
(903) 217-6882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085B0100X Primary

Addresses

Primary practice location

4100 Heritage Ave Ste 107
Grapevine, TX 76051-5716

Mailing address

4100 Heritage Ave Ste 107
Grapevine, TX 76051-5716
Phone (214) 506-3464

National Provider Directory

National Provider Directory

Locations

4100 Heritage Ave
Ste 107
Grapevine, TX 76051
Phone (214) 506-3464

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1821937012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 HERITAGE AVE STE 107",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515716",
            "telephone_number": "214-506-3464",
            "fax_number": "214-614-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HERITAGE AVE STE 107",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515716",
            "telephone_number": "214-506-3464",
            "fax_number": "214-614-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUEFORM IMAGING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/RADIOLOGY TECHNOLOGIST",
        "authorized_official_telephone_number": "903-217-6882"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.