NPIMap

Organization Active NPI

Gaston Radiology

  • Diagnostic Radiology Physician
  • Gastonia, NC
National Provider Identifier
1932435609
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GASTON RADIOLOGY
Practice address
620 Summit Crossing PL Ste 106
Gastonia, NC 28054-2189
Phone
(704) 867-8021
Fax
(704) 864-4606
NPI assigned
Oct 30, 2009
Last updated
Oct 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Authorized official

Name
Richard Blair Keener, CPA,CMPE
Title
Ceo
Phone
(704) 867-8021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

620 Summit Crossing PL Ste 106
Gastonia, NC 28054-2189

Mailing address

PO Box 1495
Gastonia, NC 28053-1495
Phone (704) 867-8021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1932435609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1495",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280531495",
            "telephone_number": "704-867-8021",
            "fax_number": "704-864-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SUMMIT CROSSING PL STE 106",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542189",
            "telephone_number": "704-867-8021",
            "fax_number": "704-864-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "KEENER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-867-8021",
        "authorized_official_credential": "CPA,CMPE"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.