Active NPI
Trueform Imaging and Wellness LLC
- Body Imaging Physician
- Grapevine, TX
National Provider Identifier
1821937012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Richardson
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 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 DirectoryLocations
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.