Active NPI
Johnathan Charles Jennings
- Hearing Instrument Specialist
- Glen Allen, VA
National Provider Identifier
1003367210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2101001628
- Practice address
- 10327 W Broad St
Glen Allen, VA 23060-6716 - Phone
- (804) 754-3600
- Fax
- (804) 754-1411
- NPI assigned
- Oct 24, 2016
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2101001628 | VA | Primary |
Addresses
Primary practice location
10327 W Broad St
Glen Allen, VA 23060-6716
Mailing address
10327 W Broad St
Glen Allen, VA 23060-6716
Phone (804) 754-3600
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 |
|---|---|---|---|
| 2101001628 | VA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1003367210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10327 W BROAD ST",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606716",
"telephone_number": "804-754-3600",
"fax_number": "804-754-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10327 W BROAD ST",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606716",
"telephone_number": "804-754-3600",
"fax_number": "804-754-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "JOHNATHAN",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "VA",
"license": "2101001628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.