Active NPI
Michael Martin Grijalva
- Audiologist-Hearing Aid Fitter
- Albuquerque, NM
National Provider Identifier
1922299130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 0803
- Practice address
- 8400 Menaul Blvd NE
Sutie F.
Albuquerque, NM 87112-2260 - Phone
- (505) 299-7777
- Fax
- (505) 299-7777
- NPI assigned
- Aug 5, 2007
- 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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 0803 | NM | Primary |
Addresses
Primary practice location
8400 Menaul Blvd NE
Sutie F.
Albuquerque, NM 87112-2260
Mailing address
8400 Menaul Blvd NE
Sutie F.
Albuquerque, NM 87112-2260
Phone (505) 299-7777
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 |
|---|---|---|---|
| 0803 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1922299130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 MENAUL BLVD NE",
"address_2": "SUTIE F.",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871122260",
"telephone_number": "505-299-7777",
"fax_number": "505-299-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 MENAUL BLVD NE",
"address_2": "SUTIE F.",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871122260",
"telephone_number": "505-299-7777",
"fax_number": "505-299-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIJALVA",
"first_name": "MICHAEL",
"middle_name": "MARTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NM",
"license": "0803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.