Active NPI
Gwen Kreft, BSRT(R)(M)(CDT)
- Mammography Radiologic Technologist
- Bismarck, ND
National Provider Identifier
1497934699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Radiologic Technologist
- License
- 273747
- Practice address
- 3617 Dominion St
Bismarck, ND 58503-1206 - Phone
- (701) 221-5863
- NPI assigned
- Oct 24, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mammography Radiologic Technologist | 2471M2300X | 273747 | ND | Primary |
Addresses
Primary practice location
3617 Dominion St
Bismarck, ND 58503-1206
Mailing address
3617 Dominion St
Bismarck, ND 58503-1206
Phone (701) 221-5863
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 |
|---|---|---|---|
| 273747 | ND | MD | Mammography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1497934699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 DOMINION ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585031206",
"telephone_number": "701-221-5863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 DOMINION ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585031206",
"telephone_number": "701-221-5863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREFT",
"first_name": "GWEN",
"credential": "BSRT(R)(M)(CDT)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2471M2300X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Mammography",
"state": "ND",
"license": "273747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.