Individual provider Active NPI

Craig David Byer, R.R.A

  • Radiology Practitioner Assistant
  • Puyallup, WA
National Provider Identifier
1881029254
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
RA60390247 Issued in WA
Practice address
12615 Meridian E
Ste 3
Puyallup, WA 98373-3409
Phone
(253) 435-5195
Fax
(253) 435-5482
NPI assigned
Sep 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Practitioner Assistant 243U00000X RA60390247 WA Primary

Addresses

Primary practice location

12615 Meridian E
Ste 3
Puyallup, WA 98373-3409

Mailing address

12615 Meridian E
Ste 3
Puyallup, WA 98373-3409
Phone (253) 435-5195

Other identifiers 2

IdentifierTypeStateIssuer
121626OtherWAARDMS
385166OtherWAARRT

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
RA60390247WAMDRadiology Practitioner Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Medical Imaging PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1881029254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12615 MERIDIAN E",
            "address_2": "STE 3",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733409",
            "telephone_number": "253-435-5195",
            "fax_number": "253-435-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12615 MERIDIAN E",
            "address_2": "STE 3",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733409",
            "telephone_number": "253-435-5195",
            "fax_number": "253-435-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYER",
        "first_name": "CRAIG",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "R.R.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "WA",
            "license": "RA60390247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARDMS",
            "identifier": "121626",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARRT",
            "identifier": "385166",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.