Individual provider Active NPI

Alex Speth

  • Radiologic Technologist
  • Manhattan, KS
National Provider Identifier
1689039232
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
22-05084 Issued in KS
Practice address
1105 Sunset Ave
Manhattan, KS 66502-3761
Phone
(785) 532-7755
Fax
(785) 532-6627
NPI assigned
Dec 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 22-05084 KS Primary

Addresses

Primary practice location

1105 Sunset Ave
Manhattan, KS 66502-3761

Mailing address

1105 Sunset Ave
Manhattan, KS 66502-3761
Phone (785) 532-7755

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

LicenseStateTypeSpecialty
22-05084KSMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1689039232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SUNSET AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023761",
            "telephone_number": "785-532-7755",
            "fax_number": "785-532-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SUNSET AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023761",
            "telephone_number": "785-532-7755",
            "fax_number": "785-532-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPETH",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "KS",
            "license": "22-05084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.