Organization Active NPI

Transfiguration Enterprises, LLC

Doing business as KJT Transportation

  • Private Vehicle
  • Indianapolis, IN
National Provider Identifier
1902316870
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
TRANSFIGURATION ENTERPRISES, LLC
Doing business as
KJT Transportation
Practice address
608 E 22ND St
Indianapolis, IN 46202-1632
Phone
(317) 828-9695
NPI assigned
Oct 5, 2017
Last updated
Oct 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Authorized official

Name
Mr. Johannon R Tate
Title
Ceo
Phone
(317) 828-9695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

608 E 22ND St
Indianapolis, IN 46202-1632

Mailing address

2515 Autumn Rd
Indianapolis, IN 46229-5006
Phone (317) 828-9695

Other names 1

  • KJT Transportation Doing business as

National Provider Directory

National Provider Directory

Locations

608 E 22nd St
Indianapolis, IN 46202
Phone (317) 828-9695

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1902316870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 AUTUMN RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462295006",
            "telephone_number": "317-828-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E 22ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021632",
            "telephone_number": "317-828-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFIGURATION ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "JOHANNON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-828-9695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KJT Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.