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ETHAN CALVIN
NPI 1700748159
Technician, Other in Bossier City, LA

Active since November 24, 2025
2161 AIRLINE DR STE B, BOSSIER CITY, LA 71111(318) 746-6288(318) 746-7911 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2026, Nov 24, 2025 (2 updates tracked since 2025).

About Ethan Calvin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN CALVIN (NPI 1700748159) is an individual technician, other provider in Bossier City, Louisiana, licensed in Louisiana (100599) and active in the NPI registry since November 2025. He maintains a secondary practice location in Wake Village.

NPPES Registry Identity

NPI1700748159
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameETHAN CALVIN
Location Address2161 AIRLINE DR STE BBossier City, LA 71111-3172
Mailing Address1509 Doctors DrBossier City, LA 71111-3321 · (318) 746-6288 · Fax (318) 746-7911
Phone(318) 746-6288
Fax(318) 746-7911
Sole ProprietorNo
Enumeration DateNovember 24, 2025
Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1700748159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Licenses✔ Licensed in LA · 100599✔ Licensed in TX · 100599✔ Licensed in AR · 100599
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
2161 AIRLINE DR STE B, Bossier City, LA 71111
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Secondary Practice Location 1

Location 1805 Kings WayWake Village, TX 75501-5775 · Phone (903) 831-7424 · Fax (903) 831-2384

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Calvin's NPI number?

The NPI number for Ethan Calvin is 1700748159. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Ethan Calvin located?

Ethan Calvin practices at 2161 Airline Dr Ste B, Bossier City, LA 71111. The listed phone number is (318) 746-6288.

What is Ethan Calvin's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Ethan Calvin was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.