Active NPI
Payton Lee Bean, RVT, RDCS, RT (R)
- Sonography Specialist/Technologist Cardiovascular
- Lubbock, TX
National Provider Identifier
1316287121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Specialist/Technologist Cardiovascular
- License
- 156934
- Practice address
- 820 N Elkhart Ave
A
Lubbock, TX 79416-1195 - Phone
- (806) 773-1877
- NPI assigned
- Feb 15, 2013
- Last updated
- Feb 15, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | 156934 | TX | Primary |
| Radiography Radiologic Technologist | 2471C3402X | 458160 | TX |
Addresses
Primary practice location
820 N Elkhart Ave
A
Lubbock, TX 79416-1195
Mailing address
502 11TH Street
Plains, TX 79355
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 |
|---|---|---|---|
| 156934 | TX | MD | Sonography Specialist/Technologist |
| 458160 | TX | MD | Radiography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingdom Diagnostics LLC | Single Specialty | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1316287121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 11TH STREET",
"city": "PLAINS",
"state": "TX",
"postal_code": "79355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 N ELKHART AVE",
"address_2": "A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794161195",
"telephone_number": "806-773-1877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAN",
"first_name": "PAYTON",
"middle_name": "LEE",
"credential": "RVT, RDCS, RT (R)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-15",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "246XS1301X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": "TX",
"license": "156934",
"primary": true
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "TX",
"license": "458160",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.