Bayside Radiology and Imaging of Rowlett PLLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

BAYSIDE RADIOLOGY AND IMAGING OF ROWLETT PLLC

Doing business as

Bayside Radiology and IMaging

Practice address

4624 Lakeview Pkwy
Rowlett, TX 75088-4027

Phone

(972) 840-2020

Fax

(972) 694-0260

NPI assigned

Nov 20, 2018

Last updated

Nov 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brad Boeke, DDS

Title

Member

Phone

(972) 840-2020

Specialties & licenses 1

Addresses

Other names 1

• Bayside Radiology and IMaging Doing business as

Practitioners 1

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.

• Bradley Boeke, D.D.S.

  • General Practice Dentistry
  • Rowlett, TX
  • NPI 1770628539
  NPD

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1861961815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 LAKEVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884027",
            "telephone_number": "972-840-2020",
            "fax_number": "972-694-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 LAKEVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884027",
            "telephone_number": "972-840-2020",
            "fax_number": "972-694-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE RADIOLOGY AND IMAGING OF ROWLETT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "BOEKE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "972-840-2020",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Radiology and IMaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Barraza, FNP
• Ashley Barrett
• Fatmata Binta Barrie, NURSE PRACTITIONER
• Mariah Basilio
• Deisy Bautista, O.D
• BC Home Healthcare Services Incorporated
• Chester Beans Jr., LCSW
• Marissa Dawn Beatte
• Hillary Becerra, LPC
• Tonia Bell

• Radiology Clinic/Center in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.