Individual provider Active NPI

John Cahak, CMRT

  • Radiologic Technologist
  • Waco, TX
National Provider Identifier
1407928468
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
22778 Issued in TX
Practice address
621 S Ruidoso Downs
Waco, TX 76706
Phone
(254) 744-3032
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2020

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 22778 TX Primary

Addresses

Primary practice location

621 S Ruidoso Downs
Waco, TX 76706

Mailing address

PO Box 22074
Waco, TX 76702-2074

Other identifiers 3

IdentifierTypeStateIssuer
$$$$$$$$$OtherSOCIAL SECURITY #
P00069563OtherTXMEDICARE RAILROAD PROVIDE
068124OtherTXAM REGISTRY OF RADIOLOGIC

Other names 1

  • Advantech Xray Imaging Professional name

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1407928468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22074",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767022074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S RUIDOSO DOWNS",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76706",
            "telephone_number": "254-744-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHAK",
        "first_name": "JOHN",
        "credential": "CMRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "TX",
            "license": "22778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY #",
            "identifier": "$$$$$$$$$",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDE",
            "identifier": "P00069563",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AM REGISTRY OF RADIOLOGIC",
            "identifier": "068124",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADVANTECH XRAY",
            "last_name": "IMAGING",
            "credential": "CMRT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.