NPIMap

Individual provider Active NPI

Gene K. Erickson, BC-HIS, ACA

  • Hearing Instrument Specialist
  • Mesa, AZ
National Provider Identifier
1427250331
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAD1532 Issued in AZ
Practice address
1423 S Higley Rd Ste 119
Mesa, AZ 85206-3450
Phone
(480) 495-0626
Fax
(480) 985-7198
NPI assigned
Jun 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1532 AZ
Hearing and Speech Clinic/Center 261QH0700X
Hearing Aid Equipment 332S00000X
Hearing Instrument Specialist 237700000X HAD1532 AZ Primary

Addresses

Primary practice location

1423 S Higley Rd Ste 119
Mesa, AZ 85206-3450

Mailing address

1423 S Higley Rd Ste 119
Mesa, AZ 85206-3450
Phone (480) 495-0626

Other practice location 1

9670 E Riggs Rd Ste 105
Sun Lakes, AZ 85248-7512
Phone (480) 802-1244

Other identifiers 1

IdentifierTypeStateIssuer
1532OtherAZDISPENSING LICENSE #

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
1532AZMDHearing Instrument Specialist
HAD1532AZMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Hearing Care Hearing Instrument Specialist CurrentSince May 16, 2021 Accepting new patients
Arizona Hearcare Network, Inc Past Accepting new patients
MLM USA LLC Hearing Instrument Specialist Past Accepting new patients

Locations

4448 E Main St
Ste 6
Mesa, AZ 85205

1423 S Higley Rd
Ste 119
Mesa, AZ 85206
Phone (480) 495-0626

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1427250331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 S HIGLEY RD STE 119",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063450",
            "telephone_number": "480-495-0626",
            "fax_number": "480-985-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 S HIGLEY RD STE 119",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063450",
            "telephone_number": "480-495-0626",
            "fax_number": "480-985-7198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9670 E Riggs Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Sun Lakes",
            "state": "AZ",
            "postal_code": "852487512",
            "country_code": "US",
            "telephone_number": "480-802-1244",
            "fax_number": "480-802-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "GENE",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "credential": "BC-HIS, ACA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-03",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "1532",
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HAD1532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DISPENSING LICENSE #",
            "identifier": "1532",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.