NPIMap

Organization Active NPI

Digital Motion X-Ray of Florida, LLC

  • Radiology Chiropractor
  • Jacksonville, FL
National Provider Identifier
1881996759
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
CH8235 Issued in FL
Legal business name
DIGITAL MOTION X-RAY OF FLORIDA, LLC
Practice address
4617 Brentwood Ave
Jacksonville, FL 32206-6168
Phone
(904) 350-5544
Fax
(904) 350-9944
NPI assigned
Nov 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Dr. Royce McGowan, DCNPI 1568431153
Title
President
Phone
(904) 350-5544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0200X CH8235 FL Primary

Addresses

Primary practice location

4617 Brentwood Ave
Jacksonville, FL 32206-6168

Mailing address

PO Box 17809
Jacksonville, FL 32245-7809
Phone (904) 723-5665

National Provider Directory

National Provider Directory

Locations

4617 Brentwood Ave
Jacksonville, FL 32206
Phone (904) 350-5544

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1881996759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17809",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322457809",
            "telephone_number": "904-723-5665",
            "fax_number": "904-338-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 BRENTWOOD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322066168",
            "telephone_number": "904-350-5544",
            "fax_number": "904-350-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITAL MOTION X-RAY OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "ROYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-350-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "FL",
            "license": "CH8235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.