Active NPI
Harry Davis
- Hearing Instrument Specialist
- Chicago, IL
National Provider Identifier
1003056789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1542
- Practice address
- 25 E Washington St Ste 1817
Chicago, IL 60602-1807 - Phone
- (636) 397-6966
- Fax
- (636) 397-6836
- NPI assigned
- Feb 20, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | MO | ||
| Hearing Instrument Specialist | 237700000X | 1542 | NC | Primary |
Addresses
Primary practice location
25 E Washington St Ste 1817
Chicago, IL 60602-1807
Mailing address
2300 N Herritage St
Kinston, NC 28501-1651
Phone (252) 285-5098
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 |
|---|---|---|---|
| 1542 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1003056789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 N HERRITAGE ST",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011651",
"telephone_number": "252-285-5098",
"fax_number": "561-688-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST STE 1817",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021807",
"telephone_number": "636-397-6966",
"fax_number": "636-397-6836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "HARRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-20",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NC",
"license": "1542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.