Active NPI
Charles R Puett, RT(R)(CT)
- Computed Tomography Radiologic Technologist
- Tucson, AZ
National Provider Identifier
1366652232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Computed Tomography Radiologic Technologist
- License
- CRT-12765
- Practice address
- 4541 S Silver Beech Ave
Tucson, AZ 85730-4030 - Phone
- (325) 212-1569
- NPI assigned
- May 22, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | CRT-12765 | AZ | Primary |
Addresses
Primary practice location
4541 S Silver Beech Ave
Tucson, AZ 85730-4030
Mailing address
3314 Trinity Ave
San Angelo, TX 76904-4932
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 |
|---|---|---|---|
| CRT-12765 | AZ | MD | Computed Tomography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366652232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3314 TRINITY AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769044932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4541 S SILVER BEECH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857304030",
"telephone_number": "325-212-1569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUETT",
"first_name": "CHARLES",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "RT(R)(CT)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "AZ",
"license": "CRT-12765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.