Individual provider Active NPI

William M Janega, NC HIS #1458

  • Hearing Instrument Specialist
  • Wilmington, NC
National Provider Identifier
1003631052
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1458 Issued in NC
Practice address
Sams Club Hearing Aid Center
412 S. College Rd
Wilmington, NC 28403
Phone
(910) 338-9049
NPI assigned
Nov 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 1458 NC Primary

Addresses

Primary practice location

Sams Club Hearing Aid Center
412 S. College Rd
Wilmington, NC 28403

Mailing address

1020 Jacksons Ridge CT
Wilmington, NC 28411-4500
Phone (910) 336-1673

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
1458NCMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audpractice Group Hearing Instrument Specialist PastSince Jan 12, 2021 Accepting new patients
Wilmington Hearing Specialists PA PastSince Aug 26, 2017 Accepting new patients

Organizations & group practices 2

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": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1003631052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 JACKSONS RIDGE CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284114500",
            "telephone_number": "910-336-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAMS CLUB HEARING AID CENTER",
            "address_2": "412 S. COLLEGE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-338-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANEGA",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "NC HIS #1458",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "1458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.