Organization Active NPI

Michael Prevec LLC

  • Acupuncturist
  • Vancouver, WA
National Provider Identifier
1184995490
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
60251662 Issued in WA
Legal business name
MICHAEL PREVEC LLC
Practice address
1906 Broadway St
Vancouver, WA 98663-3325
Phone
(360) 694-7668
Fax
(360) 694-9531
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Mr. Michael Andrew Prevec, LAC, LMP
Title
Acupuncturist/Massage Practitioner
Phone
(360) 694-7668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 60251662 WA Primary

Addresses

Primary practice location

1906 Broadway St
Vancouver, WA 98663-3325

Mailing address

1906 Broadway St
Vancouver, WA 98663-3325
Phone (360) 694-7668

National Provider Directory

National Provider Directory

Locations

1906 Broadway St
Vancouver, WA 98663
Phone (360) 694-7668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1184995490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633325",
            "telephone_number": "360-694-7668",
            "fax_number": "360-694-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633325",
            "telephone_number": "360-694-7668",
            "fax_number": "360-694-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL PREVEC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "PREVEC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "ACUPUNCTURIST/MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "360-694-7668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC, LMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60251662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.