Active NPI
Justin Look
- Other Technician
- Temple, TX
National Provider Identifier
1104117803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 2793
- Practice address
- 1103 W Adams Ave
Temple, TX 76504-2443 - Phone
- (254) 773-1226
- Fax
- (254) 773-1227
- NPI assigned
- Apr 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 2793 | TX | Primary |
Addresses
Primary practice location
1103 W Adams Ave
Temple, TX 76504-2443
Mailing address
1103 W Adams Ave
Temple, TX 76504-2443
Phone (254) 773-1226
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140634002 | Medicaid | TX | |
| 140634003 | Medicaid | TX | |
| 140634001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2793 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allumed Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Temple, TX
- NPI 1811959943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1104117803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 W ADAMS AVE",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765042443",
"telephone_number": "254-773-1226",
"fax_number": "254-773-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 W ADAMS AVE",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765042443",
"telephone_number": "254-773-1226",
"fax_number": "254-773-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOK",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-28",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "TX",
"license": "2793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140634002",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140634003",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140634001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.