Active NPI
Michael Schlicht
- Histology Technician
- Rapid City, SD
National Provider Identifier
1699085969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Histology Technician
- License
- TN42682
- Practice address
- 2040 W Main St
#210-3126
Rapid City, SD 57702 - Phone
- (858) 663-7488
- NPI assigned
- Oct 20, 2010
- Last updated
- Oct 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Histology Technician | 246RH0600X | TN42682 | FL | Primary |
Addresses
Primary practice location
2040 W Main St
#210-3126
Rapid City, SD 57702
Mailing address
2040 W Main St
#210-3126
Rapid City, SD 57702
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
| License | State | Type | Specialty |
|---|---|---|---|
| TN42682 | FL | MD | Histology Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287532800000",
"number": "1699085969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 W MAIN ST",
"address_2": "#210-3126",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 W MAIN ST",
"address_2": "#210-3126",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57702",
"telephone_number": "858-663-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLICHT",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-20",
"last_updated": "2010-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "246RH0600X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Histology",
"state": "FL",
"license": "TN42682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.