Individual provider Active NPI

Michael Charles Graham, H.I.S.

  • Hearing Instrument Specialist
  • San Antonio, TX
National Provider Identifier
1902927502
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
50325 Issued in TX
Practice address
13112 Nacogdoches Rd Ste 2
San Antonio, TX 78217-1548
Phone
(210) 946-4411
Fax
(210) 946-4424
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 50325 TX Primary

Addresses

Primary practice location

13112 Nacogdoches Rd Ste 2
San Antonio, TX 78217-1548

Mailing address

13112 Nacogdoches Rd Ste 2
San Antonio, TX 78217-1548
Phone (210) 946-4411

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
50325TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Hearing AIDS Past Accepting new patients

Organizations & group practices 1

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902927502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13112 NACOGDOCHES RD STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171548",
            "telephone_number": "210-946-4411",
            "fax_number": "210-946-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13112 NACOGDOCHES RD STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171548",
            "telephone_number": "210-946-4411",
            "fax_number": "210-946-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "H.I.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "50325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.