Active NPI
Jonathan Chavez, R.T. (R)(CT)
- Radiologic Technologist
- Albuquerque, NM
National Provider Identifier
1366850950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 18168
- Practice address
- 1722 Truman St NE
Albuquerque, NM 87110-5854 - Phone
- (505) 306-9079
- NPI assigned
- Jul 26, 2014
- Last updated
- Jul 26, 2014
- 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 | 18168 | MA | Primary |
Addresses
Primary practice location
1722 Truman St NE
Albuquerque, NM 87110-5854
Mailing address
1722 Truman St NE
Albuquerque, NM 87110-5854
Phone (505) 306-9079
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 |
|---|---|---|---|
| 18168 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406332800000",
"number": "1366850950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 TRUMAN ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105854",
"telephone_number": "505-306-9079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 TRUMAN ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105854",
"telephone_number": "505-306-9079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "JONATHAN",
"credential": "R.T. (R)(CT)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-26",
"last_updated": "2014-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "MA",
"license": "18168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.