Johnny Ray Crain Jr., RT (R) (ARRT)

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

325224 Issued in NM

Practice address

311 Los Lentes Rd SE
Los Lunas, NM 87031-9224

Phone

(916) 821-7919

Fax

(505) 565-2272

NPI assigned

Oct 8, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1871996595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SHEBA PL",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317021",
            "telephone_number": "916-821-7919",
            "fax_number": "505-565-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LOS LENTES RD SE",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870319224",
            "telephone_number": "916-821-7919",
            "fax_number": "505-565-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "JOHNNY",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RT (R) (ARRT)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "NM",
            "license": "325224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Roberto Correa, M.S. CCC-A
• Dannial Rene Coston
• Sabrina Coulie, RN
• Jacob Covell, PT, DPT
• Brenda Cox
• Paula Crawford
• Sydney Marie Crawford
• Janet Creelman
• Taylor Denae Crisostomo, CASE MANAGER
• Ada C Cruz

• Radiography Radiologic Technologist in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Radiography Radiologic Technologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.