Active NPI
John Kenneth Ayer Jain Jr., RVT
- Vascular Sonography Radiologic Technologist
- Albuquerque, NM
National Provider Identifier
1992196612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- Practice address
- 9501 La Playa St NE
Albuquerque, NM 87111-3409 - Phone
- (505) 350-3397
- Fax
- (505) 323-7980
- NPI assigned
- Feb 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | |||
| Sonography Radiologic Technologist | 2471S1302X | |||
| Vascular Sonography Radiologic Technologist | 2471V0105X | Primary |
Addresses
Primary practice location
9501 La Playa St NE
Albuquerque, NM 87111-3409
Mailing address
9501 La Playa St NE
Albuquerque, NM 87111-3409
Phone (505) 350-3397
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Doppler | Sonography | 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.
-
- Sonography Specialist/Technologist Cardiovascular
- Albuquerque, NM
- NPI 1538324488
Sonography
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1992196612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9501 LA PLAYA ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113409",
"telephone_number": "505-350-3397",
"fax_number": "505-323-7980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 LA PLAYA ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113409",
"telephone_number": "505-350-3397",
"fax_number": "505-323-7980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "JOHN",
"middle_name": "KENNETH AYER",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RVT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-17",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "246XS1301X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.