Organization Active NPI

North Denver Integrated Imaging LLC

  • Diagnostic Radiology Physician
  • Thornton, CO
National Provider Identifier
1972509677
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NORTH DENVER INTEGRATED IMAGING LLC
Practice address
12520 Grant Dr
Thornton, CO 80241-2406
Phone
(303) 252-4363
Fax
(303) 252-4319
NPI assigned
Jun 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Mr. Don Ballard
Title
Ceo
Phone
(303) 252-4319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

12520 Grant Dr
Thornton, CO 80241-2406

Mailing address

12520 Grant Dr
Thornton, CO 80241-2406
Phone (303) 252-4363

Other identifiers 1

IdentifierTypeStateIssuer
98206273MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1972509677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 GRANT DR",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412406",
            "telephone_number": "303-252-4363",
            "fax_number": "303-252-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 GRANT DR",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412406",
            "telephone_number": "303-252-4363",
            "fax_number": "303-252-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DENVER INTEGRATED IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-252-4319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98206273",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.