Individual provider Active NPI

Gregory D Homer, MD

  • Diagnostic Radiology Physician
  • Flower Mound, TX
National Provider Identifier
1851358683
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J8584 Issued in TX
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
152869701MedicaidTX

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

LicenseStateTypeSpecialty
J8584TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.