# DAKOTA PLAINS RADIOLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992879746
- **Authorized official:** JOHN KEVIN MAXWELL MD (PRESIDENT)
- **Authorized official phone:** (701) 570-2250

## Contact information

- **Practice address:** 1301 15TH AVE WEST, MERCY MEDICAL CENTER, WILLISTON, ND 58801
- **Practice address phone:** (701) 774-7400
- **Mailing address:** PO BOX 759, WILLISTON, ND 58802-0759
- **Mailing address phone:** (701) 839-1066
- **Mailing address fax:** (701) 839-5484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085N0700X | Neuroradiology Physician | — | NULL | — |
| 2085N0700X | Neuroradiology Physician | — | — | — |
| 2085N0904X | Nuclear Radiology Physician | — | NULL | — |
| 2085N0904X | Nuclear Radiology Physician | — | — | — |
| 2085P0229X | Pediatric Radiology Physician | — | NULL | — |
| 2085P0229X | Pediatric Radiology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 09/11/2025