Onsite 3D Dental Imaging Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

ONSITE 3D DENTAL IMAGING INC

Doing business as

Innovative Dental Imaging

Practice address

1011 Medical Plaza Dr
Suite 130
The Woodlands, TX 77380-3249

Phone

(832) 813-8613

Fax

(866) 325-8196

NPI assigned

Feb 25, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Laura H Bonham, RN

Title

Vice-President

Phone

(832) 813-8613

Specialties & licenses 1

Addresses

Other names 1

• Innovative Dental Imaging Doing business as

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1922248384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR",
            "address_2": "SUITE 130",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803249",
            "telephone_number": "832-813-8613",
            "fax_number": "866-325-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR",
            "address_2": "SUITE 130",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803249",
            "telephone_number": "832-813-8613",
            "fax_number": "866-325-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE 3D DENTAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "BONHAM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "832-813-8613",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Dental Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiology Clinic/Center in The Woodlands, TX
• Providers in The Woodlands, 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 Feb 25, 2009; 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.