Individual provider Active NPI

Katherine Dishner

  • Hearing Instrument Specialist
  • El Cajon, CA
National Provider Identifier
1003283961
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2101002141 Issued in VA
Practice address
761 Broadway
El Cajon, CA 92021-4631
Phone
(619) 441-0916
Fax
(619) 441-0968
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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 2101002141 VA Primary

Addresses

Primary practice location

761 Broadway
El Cajon, CA 92021-4631

Mailing address

750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380

Other practice location 1

1635 Lake San Marcos Dr Ste 108
San Marcos, CA 92078-4680
Phone (760) 744-1551

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
2101002141VAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing Inc Hearing Instrument Specialist CurrentSince Aug 23, 2021 Accepting new patients
Connect Hearing, Inc. Hearing Instrument Specialist CurrentSince Feb 14, 2021 Accepting new patients
Connect Hearing, Inc. Hearing Instrument Specialist Past Accepting new patients

Locations

3144 El Camino Real
Ste 105
Carlsbad, CA 92008
Phone (760) 729-7800

761 Broadway
El Cajon, CA 92021
Phone (619) 441-0916

16766 Bernardo Center Dr
Ste 206
San Diego, CA 92128
Phone (858) 381-0686

1635 Lake San Marcos Dr
Ste 108
San Marcos, CA 92078
Phone (760) 744-1551

750 N Commons Dr
Ste 200
Aurora, IL 60504

215 Shuman Blvd
Ste 401
Naperville, IL 60563
Phone (331) 229-8279

Organizations & group practices 3

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1003283961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214631",
            "telephone_number": "619-441-0916",
            "fax_number": "619-441-0968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 Lake San Marcos Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920784680",
            "country_code": "US",
            "telephone_number": "760-744-1551",
            "fax_number": "760-591-9665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISHNER",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101002141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.