Organization Active NPI

Sonowave Inc.

  • Diagnostic Radiology Physician
  • Tyler, TX
National Provider Identifier
1548219025
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SONOWAVE INC.
Practice address
417 S Chilton Ave
Tyler, TX 75702-8017
Phone
(903) 531-9740
Fax
(903) 531-9764
NPI assigned
May 10, 2006
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
David Rands
Title
Owner President
Phone
(903) 531-9740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

417 S Chilton Ave
Tyler, TX 75702-8017

Mailing address

PO Box 120131
Tyler, TX 75712-0131
Phone (903) 531-9740

Other identifiers 1

IdentifierTypeStateIssuer
088143501MedicaidTX

National Provider Directory

National Provider Directory

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1548219025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120131",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757120131",
            "telephone_number": "903-531-9740",
            "fax_number": "903-531-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S CHILTON AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028017",
            "telephone_number": "903-531-9740",
            "fax_number": "903-531-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOWAVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "RANDS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "903-531-9740"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088143501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.