Chea Z Peacock, R.T (R) (M)/CPT

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

GMR02010074 Issued in TX

Practice address

7533 Krypton Dr
Corpus Christi, TX 78414-3140

Phone

(252) 308-3215

NPI assigned

Oct 7, 2022

Last updated

Oct 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1699490078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7533 KRYPTON DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143140",
            "telephone_number": "252-308-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7533 KRYPTON DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143140",
            "telephone_number": "252-308-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "CHEA",
        "middle_name": "Z",
        "credential": "R.T (R) (M)/CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "GMR02010074",
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TX",
            "license": "NPCN-16623-1949",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.T (R)",
            "identifier": "GMR02010074",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "veintex.us@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "VeinTex Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "veintex.us@gmail.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "7533 Krypton Dr",
            "city": "Corp Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784143140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "veintex.us@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "VeinTex Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "veintex.us@gmail.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "7533 Krypton Dr",
            "city": "Corp Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784143140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Diagnostic Radiology Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.