Terry M Puryear

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

License

23147898 Issued in AZ

Practice address

2771 Paloma Senda
Bullhead City, AZ 86442-7982

Phone

(928) 577-7173

Fax

(928) 219-5371

NPI assigned

Feb 22, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1356097075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 PALOMA SENDA",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427982",
            "telephone_number": "928-577-7173",
            "fax_number": "928-219-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 PALOMA SENDA",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427982",
            "telephone_number": "928-577-7173",
            "fax_number": "928-219-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURYEAR",
        "first_name": "TERRY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "AZ",
            "license": "23147898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transportation Network Company in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Transportation Network Company in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.