DODGE CITY DIAGNOSTIC LLC NPI 1689699613

NPI Information

  • NPI: 1689699613
  • Provider Name: DODGE CITY DIAGNOSTIC, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 17D0453114
  • Address: 2603 CENTRAL AVENUE
    DODGE CITY, KS
    ZIP 67801
  • Phone: (620) 227-7771

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NPI Details

DODGE CITY DIAGNOSTIC, LLC is a specialist in Dodge City, KS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DODGE CITY DIAGNOSTIC, LLC NPI is 1689699613. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2603 CENTRAL AVENUE
DODGE CITY, KS
ZIP 67801-200
Phone: (620) 227-7771

The provider's authorized official is Joni L Reiter .
The authorized official title is Manager and has the following contact phone number (620) 227-7771.

The CLIA number assigned to this NPI record is 17D0453114 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of pelvis without contrast (HCPCS:72195)

The enumeration date for this NPI number is 7/12/2006 and was last updated on 2/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11447259221OTHERKANSASDR. ALEXANDER B. NEEL
2130540MEDICARE ID-TYPE UNSPECIFIEDKANSASMEDICARE
3100428180AMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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