Individual provider Active NPI

Antoine Tahkeal, R.T. (R)

  • Radiography Radiologic Technologist
  • Toppenish, WA
National Provider Identifier
1114060001
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
319831 Issued in WA
Practice address
401 Buster Rd
Toppenish, WA 98948-9792
Phone
(509) 865-2102
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X 319831 WA Primary

Addresses

Primary practice location

401 Buster Rd
Toppenish, WA 98948-9792

Mailing address

4210 Holiday Ave
Union Gap, WA 98903-2110
Phone (509) 225-6677

Other names 1

  • Tony Tahkeal Other name

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

LicenseStateTypeSpecialty
319831WAMDRadiography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114060001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 HOLIDAY AVE",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989032110",
            "telephone_number": "509-225-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BUSTER RD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989489792",
            "telephone_number": "509-865-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHKEAL",
        "first_name": "ANTOINE",
        "credential": "R.T. (R)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "WA",
            "license": "319831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "TAHKEAL",
            "credential": "R.T. (R)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toppenish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.