DEXA DIAGNOSTICS – NPI #1063475861
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

DEXA DIAGNOSTICS is a radiologist located in FORT WAYNE, IN. NPPES has assigned the NPI number 1063475861 to DEXA DIAGNOSTICS on April 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DEXA DIAGNOSTICS” is a dba name, the actual legal business name for this organization is FORT WAYNE RADIOLOGY ASSOCIATES LLC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 8 years ago on Jul 10, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEXA DIAGNOSTICS below.

NPI Profile for
FORT WAYNE RADIOLOGY ASSOCIATES LLC

NPI Number
1063475861
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FORT WAYNE RADIOLOGY ASSOCIATES LLC
Doing Business As (dba): DEXA DIAGNOSTICS
Primary location
3707 NEW VISION DR
FORT WAYNE, IN 46845
Phone: (260) 471-9466 Fax: (260) 484-5919
1 Other location(s):
2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone: (260) 373-4731
Fax: (260) 484-5919
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL KINZER
PRESIDENT
Phone: (260) 471-9466
Updated
Identifiers

Identifiers for DEXA DIAGNOSTICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN200176030A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.