Active NPI
Michael Faulkner, AU.D.
- Audiologist
- Cary, NC
National Provider Identifier
1386922946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 9707
- Practice address
- 790 SE Cary Pkwy Ste 110
Cary, NC 27511-5678 - Phone
- (919) 784-7400
- NPI assigned
- Aug 1, 2011
- Last updated
- Jan 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 9707 | NC | |
| Audiologist | 231H00000X | 9707 | NC | Primary |
Addresses
Primary practice location
790 SE Cary Pkwy Ste 110
Cary, NC 27511-5678
Mailing address
790 SE Cary Pkwy
Suite 110
Cary, NC 27511-5678
Phone (919) 784-7400
Other practice location 1
790 SE Cary Pkwy
Suite 110
Cary, NC 27511-5678
Phone (919) 784-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131113001800 | NC | Practitioner - Qualified Audiologist | 8325274772 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9707 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital, Inc. | Past | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba North Carolina Heart and Vascular
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
-
dba Rex Nutrition Services
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1386922946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 SE CARY PKWY",
"address_2": "SUITE 110",
"city": "CARY",
"state": "NC",
"postal_code": "275115678",
"telephone_number": "919-784-7400",
"fax_number": "919-784-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 SE CARY PKWY STE 110",
"city": "CARY",
"state": "NC",
"postal_code": "275115678",
"telephone_number": "919-784-7400"
}
],
"practiceLocations": [
{
"address_1": "790 SE Cary Pkwy",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275115678",
"country_code": "US",
"telephone_number": "919-784-7400",
"fax_number": "919-784-7405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAULKNER",
"first_name": "MICHAEL",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-01",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NC",
"license": "9707",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "9707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.