Active NPI
Tyler James Hanak, CNIM
- EEG Technician
- Ann Arbor, MI
National Provider Identifier
1740554872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- EEG Technician
- Practice address
- 812 Avis Dr
Ann Arbor, MI 48108-9649 - Phone
- (734) 213-3920
- NPI assigned
- Mar 7, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| EEG Technician | 2472E0500X | Primary |
Addresses
Primary practice location
812 Avis Dr
Ann Arbor, MI 48108-9649
Mailing address
186 T St
Salt Lake City, UT 84103-4152
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1740554872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 T ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841034152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 AVIS DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481089649",
"telephone_number": "734-213-3920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANAK",
"first_name": "TYLER",
"middle_name": "JAMES",
"credential": "CNIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-07",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.