Ray Bolivar, CRT

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

License

312762 Issued in OR

Practice address

Corner of Bia 12 and Bia 7
Fort Defiance, AZ 86504

Phone

(928) 129-3366

NPI assigned

Dec 23, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1104195965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S HARDY DR UNIT 203",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817816",
            "telephone_number": "928-729-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF BIA 12 AND BIA 7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-129-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIVAR",
        "first_name": "RAY",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "OR",
            "license": "312762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Scot Bishop, DDS
• Charles Adams Blakely, M.D.
• Melonie I Blancaneaux
• Miranda Frances Blatchford, LCSW
• Floyd Bodden, PA
• Rosemary Josephine Bolza, CNM
• Kevin Boudinot
• Brittany Bowks, RN
• Ulysses S Bowler Jr., MD
• Rebecca Bowling, RN

• Certified Respiratory Therapist in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Certified Respiratory Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.