Active NPI
Byron Adams, R.T. (R)
- Body Imaging Physician
- Desoto, TX
National Provider Identifier
1831654383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- GMR00106673
- Practice address
- 808 Misty Glen Dr
Desoto, TX 75115-4406 - Phone
- (972) 704-4090
- NPI assigned
- Feb 8, 2019
- Last updated
- Feb 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | GMR00106673 | TX | Primary |
Addresses
Primary practice location
808 Misty Glen Dr
Desoto, TX 75115-4406
Mailing address
808 Misty Glen Dr
Desoto, TX 75115-4406
Phone (972) 704-4090
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
| License | State | Type | Specialty |
|---|---|---|---|
| GMR00106673 | TX | MD | Body Imaging Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1831654383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 MISTY GLEN DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751154406",
"telephone_number": "972-704-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 MISTY GLEN DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751154406",
"telephone_number": "972-704-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "BYRON",
"name_prefix": "Mr.",
"credential": "R.T. (R)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-08",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "TX",
"license": "GMR00106673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.