NPIMap

Organization Active NPI

Radiology Express Poinciana LLC

  • Exclusive Provider Organization
  • Kissimmee, FL
National Provider Identifier
1972039857
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
ME50820 Issued in FL
Legal business name
RADIOLOGY EXPRESS POINCIANA LLC
Practice address
1016 Cypress Pkwy
Kissimmee, FL 34759-3328
Phone
(407) 915-3564
Fax
(407) 350-5967
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Dale Christopher Newton, ME50820
Title
Manager
Phone
(407) 915-3564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X ME50820 FL Primary

Addresses

Primary practice location

1016 Cypress Pkwy
Kissimmee, FL 34759-3328

Mailing address

1016 Cypress Pkwy
Kissimmee, FL 34759-3328
Phone (407) 915-3564

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1972039857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 CYPRESS PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593328",
            "telephone_number": "407-915-3564",
            "fax_number": "407-350-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 CYPRESS PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593328",
            "telephone_number": "407-915-3564",
            "fax_number": "407-350-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY EXPRESS POINCIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-915-3564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ME50820"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "ME50820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.