Individual provider Active NPI

David Nfonsang Tabey

  • Radiologic Technologist
  • Bowie, MD
National Provider Identifier
1275310203
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
R0013198 Issued in MD
Practice address
17210 Aspen Leaf Dr
Bowie, MD 20716-3623
Phone
(857) 891-9327
NPI assigned
Sep 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X R0013198 MD Primary

Addresses

Primary practice location

17210 Aspen Leaf Dr
Bowie, MD 20716-3623

Mailing address

17210 Aspen Leaf Dr
Bowie, MD 20716-3623
Phone (857) 891-9327

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
R0013198MDMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1275310203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17210 ASPEN LEAF DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163623",
            "telephone_number": "857-891-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17210 ASPEN LEAF DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163623",
            "telephone_number": "857-891-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABEY",
        "first_name": "DAVID",
        "middle_name": "NFONSANG",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "MD",
            "license": "R0013198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.