Active NPI
Gregory D Homer, MD
- Diagnostic Radiology Physician
- Flower Mound, TX
National Provider Identifier
1851358683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- J8584
- Practice address
- 4605 Tour 18 Dr
Flower Mound, TX 75022-6449 - Phone
- (303) 933-8270
- Fax
- (972) 437-3369
- NPI assigned
- Apr 26, 2006
- Last updated
- Sep 15, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | J8584 | TX | Primary |
Addresses
Primary practice location
4605 Tour 18 Dr
Flower Mound, TX 75022-6449
Mailing address
2201 N Central Expy
Ste 185
Richardson, TX 75080-2754
Phone (303) 933-8270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152869701 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J8584 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastpointe Radiologists, PC | Diagnostic Radiology | Past | Accepting new patients |
| Consultants in Radiology PA | Diagnostic Radiology | Past | Accepting new patients |
| Preferred Imaging of Denton, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Clinics of North Texas LLP | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- dmcghomer@yourcarecommunity.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Wichita Falls, TX
- NPI 1124007760
-
- Diagnostic Radiology Physician
- Hurst, TX
- NPI 1922034602
-
- Radiology Clinic/Center
- Denton, TX
- NPI 1659698587
Diagnostic Radiology
-
dba Grosse Pointe Physicians Xray Center, PC
- Diagnostic Radiology Physician
- Grosse Pointe Woods, MI
- NPI 1558409649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1851358683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 N CENTRAL EXPY",
"address_2": "STE 185",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802754",
"telephone_number": "303-933-8270",
"fax_number": "972-437-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 TOUR 18 DR",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750226449",
"telephone_number": "303-933-8270",
"fax_number": "972-437-3369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMER",
"first_name": "GREGORY",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "J8584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152869701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.