Lance David Kieser, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

DA16222 Issued in AZ

Practice address

2045 S Vineyard Ste 139
Mesa, AZ 85210-6891

Phone

(480) 770-5444

NPI assigned

Jun 25, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1104714310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9860 E TAMERY AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121204",
            "telephone_number": "309-231-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 139",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106891",
            "telephone_number": "480-770-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESER",
        "first_name": "LANCE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA16222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Audiologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.