Active NPI
Transfiguration Enterprises, LLC
Doing business as KJT Transportation
- Private Vehicle
- Indianapolis, IN
National Provider Identifier
1902316870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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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.