Active NPI
Michael Prevec LLC
- Acupuncturist
- Vancouver, WA
National Provider Identifier
1184995490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 60251662
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryLocations
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.
-
- Acupuncturist
- Vancouver, WA
- NPI 1497931869
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.