Active NPI
Anthony J Wray, RRA
- Radiologic Technologist
- Indianapolis, IN
National Provider Identifier
1912596081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- XT021684
- Practice address
- 714 N Senate Ave Ste 100
Indianapolis, IN 46202-3297 - Phone
- (317) 963-0156
- Fax
- (317) 963-2711
- NPI assigned
- Jan 13, 2021
- 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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | XT021684 | IN | Primary |
Addresses
Primary practice location
714 N Senate Ave Ste 100
Indianapolis, IN 46202-3297
Mailing address
714 N Senate Ave Ste 100
Indianapolis, IN 46202-3297
Phone (317) 963-0156
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
| License | State | Type | Specialty |
|---|---|---|---|
| XT021684 | IN | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1912596081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 N SENATE AVE STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023297",
"telephone_number": "317-963-0156",
"fax_number": "317-963-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 N SENATE AVE STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023297",
"telephone_number": "317-963-0156",
"fax_number": "317-963-2711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "RRA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "IN",
"license": "XT021684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.