NPIMap

Organization Active NPI

Kayenta Health Center, Radiology Dept

  • Radiography Radiologic Technologist
  • Kayenta, AZ
National Provider Identifier
1497205710
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
ARRT#271815 Issued in MN
Legal business name
KAYENTA HEALTH CENTER, RADIOLOGY DEPT
Practice address
Highway 160,
Kayenta Health Center
Kayenta, AZ 86033
Phone
(928) 697-4306
Fax
(928) 697-4107
NPI assigned
Oct 11, 2016
Last updated
Oct 11, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
IHS/DHHSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Ms. Marjorie Chinnock
Title
Radiology Manager/ Supervisor
Phone
(928) 697-4315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X ARRT#271815 MN Primary

Addresses

Primary practice location

Highway 160,
Kayenta Health Center
Kayenta, AZ 86033

Mailing address

15951 W Cocopah St
Goodyear, AZ 85338-7930
Phone (928) 697-4306

Other identifiers 1

IdentifierTypeStateIssuer
14256OtherAZMRTBE

National Provider Directory

National Provider Directory
Tax ID family
McDonald Army Health Care Center200 organizations share this tax ID, including this one
Part of
McDonald Army Health Care Center

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1497205710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15951 W COCOPAH ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387930",
            "telephone_number": "928-697-4306",
            "fax_number": "928-697-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 160,",
            "address_2": "KAYENTA HEALTH CENTER",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "86033",
            "telephone_number": "928-697-4306",
            "fax_number": "928-697-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYENTA HEALTH CENTER, RADIOLOGY DEPT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IHS/DHHS",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "CHINNOCK",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "RADIOLOGY MANAGER/ SUPERVISOR",
        "authorized_official_telephone_number": "928-697-4315",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "MN",
            "license": "ARRT#271815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MRTBE",
            "identifier": "14256",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kayenta, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.