Organization Active NPI

Northland Imaging, LLC

  • Radiology Clinic/Center
  • Kansas City, MO
National Provider Identifier
1851441505
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
NORTHLAND IMAGING, LLC
Practice address
5500 N Oak Trfy
Kansas City, MO 64118-4628
Phone
(814) 452-4674
NPI assigned
Jan 12, 2007
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Mr. Nicholas Degennaro
Title
President
Phone
(816) 853-8667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

5500 N Oak Trfy
Kansas City, MO 64118-4628

Mailing address

5500 N Oak Trfy
Kansas City, MO 64118-4628
Phone (814) 452-4674

National Provider Directory

National Provider Directory

Locations

9201 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 334-4110

9201 Parallel Pkwy
Ste 2
Kansas City, KS 66112
Phone (913) 334-4110

2020 N Woodlawn St
Ste 350
Wichita, KS 67208
Phone (316) 687-1674

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1851441505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184628",
            "telephone_number": "814-452-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184628",
            "telephone_number": "814-452-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "DEGENNARO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-853-8667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

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