Active NPI
Nathan Pung
- Radiological Physics Physician
- Spokane, WA
National Provider Identifier
1417888538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiological Physics Physician
- License
- 233
- Practice address
- 6510 S Devonshire CT
Spokane, WA 99223-6230 - Phone
- (719) 210-3435
- NPI assigned
- May 27, 2026
- Last updated
- May 27, 2026
- 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 |
|---|---|---|---|---|
| Radiological Physics Physician | 2085R0205X | 233 | CO | Primary |
Addresses
Primary practice location
6510 S Devonshire CT
Spokane, WA 99223-6230
Mailing address
6510 S Devonshire CT
Spokane, WA 99223-6230
Phone (719) 210-3435
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 |
|---|---|---|---|
| 233 | CO | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1417888538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 S DEVONSHIRE CT",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992236230",
"telephone_number": "719-210-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 S DEVONSHIRE CT",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992236230",
"telephone_number": "719-210-3435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNG",
"first_name": "NATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-27",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "CO",
"license": "233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.