Active NPI
Billy Ray Davidson, TECH
- Radiography Radiologic Technologist
- Mesquite, TX
National Provider Identifier
1972601060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- Practice address
- 4124 Gus Thomasson Road
Mesquite, TX 75150-2226 - Phone
- (972) 601-0481
- Fax
- (214) 221-5600
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | TX | Primary | |
| Sonography Radiologic Technologist | 2471S1302X | TX |
Addresses
Primary practice location
4124 Gus Thomasson Road
Mesquite, TX 75150-2226
Mailing address
4124 Gus Thomasson Road
Mesquite, TX 75150-2226
Phone (972) 601-0481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 459840 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stat X-Ray of Texas Inc | Sonography | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1972601060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4124 GUS THOMASSON ROAD",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502226",
"telephone_number": "972-601-0481",
"fax_number": "214-221-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4124 GUS THOMASSON ROAD",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502226",
"telephone_number": "972-601-0481",
"fax_number": "214-221-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "BILLY",
"middle_name": "RAY",
"credential": "TECH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "459840",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.