Imagdent LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

IMAGDENT LLC

Practice address

12223 W Giles Rd
La Vista, NE 68128-5801

Phone

(531) 867-4273

Fax

(402) 665-1455

NPI assigned

Feb 26, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Arun Malik

Title

Coo

Phone

(404) 437-3175

Specialties & licenses 1

Addresses

Other names 1

• iMagDent Omaha Doing business as

Locations

Practitioners 1

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

• Varsha Kadyan, BDS, MDS

  • Oral and Maxillofacial Radiology Dentistry
  • La Vista, NE
  • NPI 1922501121
  NPD

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1982298295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12223 W GILES RD",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285801",
            "telephone_number": "531-867-4273",
            "fax_number": "402-665-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12223 W GILES RD",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285801",
            "telephone_number": "531-867-4273",
            "fax_number": "402-665-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGDENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "404-437-3175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iMagDent Omaha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassidy Ann Hullman
• Richard H Hurd, M.D.
• Huskers Behavioral Health
• Kim Huynh, RPH
• I Care Optical Inc
• Bonnie Ince
• Marwinta Inchin
• Christine Inguanzo, M.D.
• Instant Health Services
• Integrative Healing Therapies LLC

• Radiology Clinic/Center in La Vista, NE
• Providers in La Vista, NE by specialty
• Radiology Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.