Active NPI
Dena Fahlquist, AUD
- Audiologist-Hearing Aid Fitter
- Albuquerque, NM
National Provider Identifier
1003361841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 6062
- Practice address
- 415 Cedar St SE
Albuquerque, NM 87106-3927 - Phone
- (505) 842-5810
- Fax
- (505) 842-5816
- NPI assigned
- Aug 22, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 6062 | NM | Primary |
Addresses
Primary practice location
415 Cedar St SE
Albuquerque, NM 87106-3927
Mailing address
415 Cedar St SE
Albuquerque, NM 87106-3927
Phone (505) 842-5810
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6062 | NM | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Associates PC | 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.
-
- Otolaryngology Physician
- Albuq, NM
- NPI 1699840272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1003361841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 CEDAR ST SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871063927",
"telephone_number": "505-842-5810",
"fax_number": "505-842-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 CEDAR ST SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871063927",
"telephone_number": "505-842-5810",
"fax_number": "505-842-5816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHLQUIST",
"first_name": "DENA",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-22",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NM",
"license": "6062",
"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 Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.