NPIMap

Organization Active NPI

Medical Imaging of Dallas, LLP

  • Specialist
  • Irving, TX
National Provider Identifier
1972694099
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MEDICAL IMAGING OF DALLAS, LLP
Practice address
102 Decker CT Ste 205
Irving, TX 75062-2740
Phone
(972) 906-6250
Fax
(972) 906-0116
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Ms. Bridget Haynes
Title
Administrator
Phone
(972) 906-6276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

102 Decker CT Ste 205
Irving, TX 75062-2740

Mailing address

PO Box 814129
Dallas, TX 75381-4129
Phone (972) 906-6250

Other identifiers 1

IdentifierTypeStateIssuer
093792201MedicaidTX

National Provider Directory

National Provider Directory

Locations

2997 LBJ
Ste 215
Dallas, TX 75234
Phone (972) 241-4159

102 Decker Ct
Ste 205
Irving, TX 75062
Phone (972) 906-6250

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1972694099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814129",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753814129",
            "telephone_number": "972-906-6250",
            "fax_number": "972-906-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DECKER CT STE 205",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622740",
            "telephone_number": "972-906-6250",
            "fax_number": "972-906-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING OF DALLAS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-906-6276",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093792201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.