Individual provider Active NPI

David Michael Tague

  • Hearing Instrument Specialist
  • Milwaukee, WI
National Provider Identifier
1508421793
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1587-60 Issued in WI
Practice address
2505 N Mayfair Rd Ste 104
Milwaukee, WI 53226-1404
Phone
(474) 475-5809
NPI assigned
May 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HADS001006 GA
Hearing Instrument Specialist 237700000X 1587-60 WI Primary

Addresses

Primary practice location

2505 N Mayfair Rd Ste 104
Milwaukee, WI 53226-1404

Mailing address

2505 N Mayfair Rd Ste 104
Milwaukee, WI 53226-1404
Phone (474) 475-5809

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
HADS001006GAMDHearing Instrument Specialist
1587-60WIMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1508421793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 N MAYFAIR RD STE 104",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261404",
            "telephone_number": "474-475-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 N MAYFAIR RD STE 104",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261404",
            "telephone_number": "474-475-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGUE",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS001006",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1587-60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.