Individual provider Active NPI

John Adams, ARRT, R.T. (R)(CT)

  • Radiologic Technologist
  • Louisville, KY
National Provider Identifier
1417075664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
1003408675 Issued in KY
Practice address
4819 Greenvale Cir
Louisville, KY 40272-3182
Phone
(502) 995-0520
Fax
(502) 515-6711
NPI assigned
Mar 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1003408675 KY Primary

Addresses

Primary practice location

4819 Greenvale Cir
Louisville, KY 40272-3182

Mailing address

4819 Greenvale Cir
Louisville, KY 40272-3182
Phone (502) 995-0520

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

LicenseStateTypeSpecialty
1003408675KYMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417075664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 GREENVALE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402723182",
            "telephone_number": "502-995-0520",
            "fax_number": "502-515-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 GREENVALE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402723182",
            "telephone_number": "502-995-0520",
            "fax_number": "502-515-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "ARRT, R.T. (R)(CT)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "KY",
            "license": "1003408675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

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.

Verify at the official NPI Registry.