Individual provider Active NPI

Chandana N/a Hewage, MD. RDMS. RVT

  • Sonography Radiologic Technologist
  • Little Elm, TX
National Provider Identifier
1457107633
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Practice address
2452 Hammock Lake Dr
Little Elm, TX 75068-6008
Phone
(940) 273-0643
NPI assigned
Apr 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X Primary

Addresses

Primary practice location

2452 Hammock Lake Dr
Little Elm, TX 75068-6008

Mailing address

2452 Hammock Lake Dr
Little Elm, TX 75068-6008
Phone (940) 273-0643

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": "1714176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1457107633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 HAMMOCK LAKE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686008",
            "telephone_number": "940-273-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 HAMMOCK LAKE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686008",
            "telephone_number": "940-273-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWAGE",
        "first_name": "CHANDANA",
        "middle_name": "N/A",
        "name_prefix": "Dr.",
        "credential": "MD. RDMS. RVT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.