Individual provider Active NPI

Antonio Homero Crispin, RADIOLGY TECH

  • Radiologic Technologist
  • San Antonio, TX
National Provider Identifier
1346574688
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Practice address
6111 S Zarzamora St
San Antonio, TX 78211-3202
Phone
(210) 921-0812
Fax
(210) 921-1006
NPI assigned
Sep 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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 TX Primary

Addresses

Primary practice location

6111 S Zarzamora St
San Antonio, TX 78211-3202

Mailing address

6111 S Zarzamora St
San Antonio, TX 78211-3202
Phone (210) 921-0812

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

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1346574688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 S ZARZAMORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113202",
            "telephone_number": "210-921-0812",
            "fax_number": "210-921-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 S ZARZAMORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113202",
            "telephone_number": "210-921-0812",
            "fax_number": "210-921-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISPIN",
        "first_name": "ANTONIO",
        "middle_name": "HOMERO",
        "name_prefix": "Mr.",
        "credential": "RADIOLGY TECH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.