Active NPI
David Elliot Kaye
- Diagnostic Radiology Physician
- Bristol, CT
National Provider Identifier
1801806575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 17254
- Practice address
- 25 Collins Rd
Bristol, CT 06010 - Phone
- (860) 584-0541
- Fax
- (860) 584-9998
- NPI assigned
- Aug 8, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 17254 | CT | Primary |
Addresses
Primary practice location
25 Collins Rd
Bristol, CT 06010
Mailing address
985 Farmington Ave
PO Box 277
Bristol, CT 06011-0277
Phone (860) 584-1320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6954 | Medicaid | CT |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17254 | CT | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801806575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 FARMINGTON AVE",
"address_2": "PO BOX 277",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060110277",
"telephone_number": "860-584-1320",
"fax_number": "860-584-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 COLLINS RD",
"city": "BRISTOL",
"state": "CT",
"postal_code": "06010",
"telephone_number": "860-584-0541",
"fax_number": "860-584-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYE",
"first_name": "DAVID",
"middle_name": "ELLIOT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "17254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6954",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.