Active NPI
Matthew L McClure, RT
- Radiologic Technologist
- Indianapolis, IN
National Provider Identifier
1326376872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- XT018187
- Practice address
- 714 N Senate Ave
Ste 100
Indianapolis, IN 46202-3763 - Phone
- (317) 715-6402
- Fax
- (317) 715-6415
- NPI assigned
- Nov 20, 2009
- 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 | XT018187 | IN | Primary |
Addresses
Primary practice location
714 N Senate Ave
Ste 100
Indianapolis, IN 46202-3763
Mailing address
714 N Senate Ave
Ste 100
Indianapolis, IN 46202-3763
Phone (317) 715-6402
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 |
|---|---|---|---|
| XT018187 | IN | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1326376872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 N SENATE AVE",
"address_2": "STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023763",
"telephone_number": "317-715-6402",
"fax_number": "317-715-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 N SENATE AVE",
"address_2": "STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023763",
"telephone_number": "317-715-6402",
"fax_number": "317-715-6415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "MATTHEW",
"middle_name": "L",
"credential": "RT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-20",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "IN",
"license": "XT018187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.