Active NPI
Devin Thomas Mazzone, R.T (R)(CT)(ARRT)
- Computed Tomography Radiologic Technologist
- Cheyenne, WY
National Provider Identifier
1619638129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Computed Tomography Radiologic Technologist
- License
- 1008042
- Practice address
- 3014 Smith PL
Cheyenne, WY 82009-4565 - Phone
- (307) 365-1122
- NPI assigned
- Jan 6, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | 1008042 | WY | Primary |
Addresses
Primary practice location
3014 Smith PL
Cheyenne, WY 82009-4565
Mailing address
3014 Smith PL
Cheyenne, WY 82009-4565
Phone (307) 365-1122
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 |
|---|---|---|---|
| 1008042 | WY | MD | Computed Tomography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1619638129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3014 SMITH PL",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094565",
"telephone_number": "307-365-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3014 SMITH PL",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094565",
"telephone_number": "307-365-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZONE",
"first_name": "DEVIN",
"middle_name": "THOMAS",
"credential": "R.T (R)(CT)(ARRT)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "WY",
"license": "1008042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.