Active NPI
Jeffrey E Felts, RVT, RDMS
- Radiologic Technologist
- Garland, TX
National Provider Identifier
1255359519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 7491
- Practice address
- 325 Gold St
#100
Garland, TX 75042-6658 - Phone
- (972) 205-1144
- Fax
- (972) 205-1115
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 7491 | TX | Primary |
Addresses
Primary practice location
325 Gold St
#100
Garland, TX 75042-6658
Mailing address
325 Gold St
#100
Garland, TX 75042-6658
Phone (972) 205-1144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 459902 | Other | TX | BLUE CROSS/ BLUE SHIELD |
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 |
|---|---|---|---|
| 7491 | TX | MD | Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrostat Clinical Laboratory, Inc | Current | Accepting new patients | |
| Logos Clinical Laboratory LLC | Current | Accepting new patients | |
| Metrostat Diagnostic Services Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Medical Laboratory
- Garland, TX
- NPI 1922242577
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Garland, TX
- NPI 1144254186
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1457951923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255359519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 GOLD ST",
"address_2": "#100",
"city": "GARLAND",
"state": "TX",
"postal_code": "750426658",
"telephone_number": "972-205-1144",
"fax_number": "972-205-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 GOLD ST",
"address_2": "#100",
"city": "GARLAND",
"state": "TX",
"postal_code": "750426658",
"telephone_number": "972-205-1144",
"fax_number": "972-205-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELTS",
"first_name": "JEFFREY",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "RVT, RDMS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "TX",
"license": "7491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "459902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
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.