Individual provider Active NPI

Antoine E. Stanford, MBA HCM, HAD

  • Hearing Instrument Specialist
  • Sun City West, AZ
National Provider Identifier
1497243695
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADE9354 Issued in AZ
Practice address
13940 W Meeker Blvd
Sun City West, AZ 85375-4492
Phone
(480) 825-6115
NPI assigned
Apr 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HADE9354 AZ Primary

Addresses

Primary practice location

13940 W Meeker Blvd
Sun City West, AZ 85375-4492

Mailing address

17672 W Maricopa St
Goodyear, AZ 85338-4705
Phone (623) 570-7831

Other practice location 1

20351 N Lake Pleasant Rd
Peoria, AZ 85382-9703
Phone (480) 825-6115

Other practice location 2

7586 W Thunderbird Rd
Peoria, AZ 85381-6077
Phone (480) 825-6115

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
HADE9354AZMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1497243695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17672 W MARICOPA ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384705",
            "telephone_number": "623-570-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13940 W MEEKER BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754492",
            "telephone_number": "480-825-6115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20351 N Lake Pleasant Rd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853829703",
            "country_code": "US",
            "telephone_number": "480-825-6115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7586 W Thunderbird Rd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853816077",
            "country_code": "US",
            "telephone_number": "480-825-6115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "ANTOINE",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "MBA HCM, HAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HADE9354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.