Mieko Tanaka, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

4646 Issued in NC

Practice address

955 Fairfield Rd
Fayetteville, NC 28303-5358

Phone

(910) 323-9196

Fax

(910) 323-9867

NPI assigned

Aug 17, 2005

Last updated

Sep 5, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Hearing Care

  • Hearing and Speech Clinic/Center
  • Fayetteville, NC
  • NPI 1154654853
  Authorized official Same address or phone

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1124010053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 FAIRFIELD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035358",
            "telephone_number": "910-323-9196",
            "fax_number": "910-323-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 FAIRFIELD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035358",
            "telephone_number": "910-323-9196",
            "fax_number": "910-323-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "MIEKO",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "4646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jonas Rojas Tan, LPT
• Tandempath Diagnostics PC
• Katheryn Joy Tandon, M.A. L.P.C
• Dana Thi Tang, DDS
• Shan Tang, MD
• Jason Taniguchi, D.O.

• Audiologist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Audiologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.