IMAGDENT (NPI# 1508894163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508894163 |
| Entity Type | Organization |
| Organization Name | IMAGDENT |
| Practice Address |
14329 San Pedro Ave Ste C San Antonio TX 78232-4389 |
| Practice Telephone | 2104041215 |
| Practice Fax Number | 2104041218 |
| Mailing Telephone | 2104041215 |
| Mailing Fax Number | 2104041218 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | REBECCA ANN JARAMILLO (IMAGING COORDINATOR/OFFICE MANAGER) |
| Authorized Official Telephone | 210404-1215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
14329 SAN PEDRO AVE STE C |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78232-4389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285109272 | Full Circle Medical Group Pllc | Nurse Practitioner | 14329 San Pedro Ave Ste C, San Antonio, TX 78232-4389 | 2018-10-05 |
| 1346612520 | Ruben Galvan Jr. | Nurse Practitioner | 14329 San Pedro Ave Ste C, San Antonio, TX 78232-4389 | 2015-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371334 | Rachelle Renee Morales | Counselor | 620 W Afton Oaks Blvd, San Antonio, TX 78232 | 2019-11-25 |
| 1508328360 | Ruene Anne Villalobos | Licensed Vocational Nurse | North Loop 1604 E #350, San Antonio, TX 78232 | 2019-04-02 |
| 1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
| 1437666583 | Jennifer Harris | Physician Assistant | 1380 Pantheon Way Ste 310, San Antonio, TX 78232 | 2018-01-10 |
| 1003334616 | Third Space Counseling and Consultation, Pllc | Counselor | 1380 Pantheon Way Suite 245, San Antonio, TX 78232 | 2017-09-03 |
| 1336678135 | Gregory Arellanes | Specialist/Technologist, Other | 1141 N Loop 1604 E #105-612, San Antonio, TX 78232 | 2017-06-06 |
| 1528437811 | Jonathan Hodge | Specialist/Technologist, Other | 1141 E Loop 1604, Suite 105, San Antonio, TX 78232 | 2015-09-17 |
| 1356726376 | Shawn Grubbs | Spec/Tech, Cardiovascular | 16620 Us Hwy 281n, Suite 300, San Antonio, TX 78232 | 2015-07-21 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1841690526 | Janet Porter | Registered Nurse | 15909 San Pedro Ave Ste 204, San Antonio, TX 78232 | 2014-08-29 |
| Find all providers in zip 78232 | ||||
| Taxonomy Code | 2471C3401X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Computed Tomography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184013468 | Dentalmed Imaging, LLC | Radiologic Technologist | 8647 Wurzbach Rd Bldg B, San Antonio, TX 78240-1245 | 2015-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256685 | Rochelle Jackson | Radiologic Technologist | 2208 Ranch Road 620 N Apt 5414, Austin, TX 78734-2847 | 2020-05-08 |
| 1376039180 | Victor C Ezemba | Radiologic Technologist | 6922 Addicks Clodine Rd, Houston, TX 77083-1102 | 2018-07-04 |
| 1679928592 | Charles Darling | Radiologic Technologist | 1512 Country Walk Dr, Mckinney, TX 75071-7790 | 2016-04-28 |
| 1588097653 | Jose Trejo Gonzalez | Radiologic Technologist | 14722 Country Rose Ln, Cypress, TX 77429-8044 | 2013-08-13 |
| 1326225707 | Park Central Imaging LLC | Radiologic Technologist | 5601 Granite Pkwy, Ste 460, Plano, TX 75024-6654 | 2008-01-28 |
| 1528185386 | Karma Sue Penner | Radiologic Technologist | 273 Mesa Vw, Montgomery, TX 77316-2906 | 2007-03-24 |
| 1275687428 | Mcallen North Imaging Inc | Radiologic Technologist | 5030 North 10th St., Mcallen, TX 78504-2832 | 2007-01-23 |
| 1205911054 | Preferred Open Mri, Ltd. | Radiologic Technologist | 8405 Lakeview Pkwy., Ste 220, Rowlett, TX 75088-4559 | 2006-10-26 |
| 1285717462 | Preferred Mri, Inc. | Radiologic Technologist | 1778 N. Plano Rd., Suite 300, Richardson, TX 75081-1958 | 2006-10-23 |
| 1861575615 | Preferred Imaging of Plano, Lp | Radiologic Technologist | 2205 N Central Expwy., Ste. 185, Plano, TX 75075-2591 | 2006-10-23 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78232 |
Please comment or provide details below to improve the information on IMAGDENT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.