NPIMap

Organization Active NPI

Diagnostic Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Watertown, SD
National Provider Identifier
1871538504
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DIAGNOSTIC RADIOLOGY ASSOCIATES LLC
Practice address
1201 Mickelson Dr Ste 2
Watertown, SD 57201-7253
Phone
(605) 882-0432
Fax
(605) 882-0978
NPI assigned
Jun 17, 2006
Last updated
Feb 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
William K Bishop, MD
Title
Provider
Phone
(605) 882-0432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

1201 Mickelson Dr Ste 2
Watertown, SD 57201-7253

Mailing address

1201 Mickelson Dr Ste 2
Watertown, SD 57201-7253
Phone (605) 882-0432

Other identifiers 1

IdentifierTypeStateIssuer
0006893OtherSDBCBS - GROUP

National Provider Directory

National Provider Directory

Locations

1201 Mickelson Dr
#2
Watertown, SD 57201

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1871538504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MICKELSON DR STE 2",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572017253",
            "telephone_number": "605-882-0432",
            "fax_number": "605-882-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MICKELSON DR STE 2",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572017253",
            "telephone_number": "605-882-0432",
            "fax_number": "605-882-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC RADIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "605-882-0432",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GROUP",
            "identifier": "0006893",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.