Individual provider Active NPI

Michael Eugene Alquist

  • Hearing Instrument Specialist
  • Prescott Valley, AZ
National Provider Identifier
1194576728
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAD14079 Issued in AZ
Practice address
4716 N Robert Rd Apt C
Prescott Valley, AZ 86314-6175
Phone
(602) 600-5355
NPI assigned
Apr 1, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X HAD14079 AZ Primary

Addresses

Primary practice location

4716 N Robert Rd Apt C
Prescott Valley, AZ 86314-6175

Mailing address

4716 N Robert Rd Apt C
Prescott Valley, AZ 86314-6175
Phone (602) 600-5355

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HAD14079AZMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1194576728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 N ROBERT RD APT C",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863146175",
            "telephone_number": "602-600-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 N ROBERT RD APT C",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863146175",
            "telephone_number": "602-600-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALQUIST",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HAD14079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.