Active NPI
D&a Dissolving, Inc.
- Audiologist-Hearing Aid Fitter
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 23002137A
- Legal business name
- D&A DISSOLVING, INC.
- Practice address
- 218 S Frances St
South Bend, IN 46617-3004 - Phone
- (574) 232-5815
- Fax
- (574) 289-4327
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pamela Rae Deane Riley, AU.D.
- Title
- President
- Phone
- (269) 271-5208
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 23002137A | IN | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 3501002824 | MI | |
| Audiologist-Hearing Aid Fitter | 237600000X | 23002216A | IN | |
| Audiologist-Hearing Aid Fitter | 237600000X |
Addresses
Primary practice location
218 S Frances St
South Bend, IN 46617-3004
Mailing address
319 W Charlotte St
Centreville, MI 49032-9657
Phone (269) 271-5207
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100280770A | Medicaid | IN | |
| 540A402560 | Other | MI | BCBS MI HEARING AIDS |
| 804742301 | Medicaid | MI | |
| 640A426010 | Other | MI | BCBS MI AUDIOLOGY |
| 200122530A | Medicaid | IN | |
| 000000391214 | Other | IN | ANTHEM AUDIOLOGY/AIDS |
| 000000247031 | Other | IN | ANTHEM AUDIOLOGY /AIDS |
| 200469120A | Medicaid | IN | |
| 903366906 | Medicaid | MI |
Other names 1
- Darr & Associates, Inc
National Provider Directory
National Provider DirectoryLocations
500 N Nappanee St
Ste 3B
Elkhart, IN 46514
Phone (514) 232-5815
919 E Jefferson Blvd
Ste 104
South Bend, IN 46617
Phone (574) 232-5815
218 S Frances St
Ste 100
South Bend, IN 46617
317 S Drake Rd
Ste C
Kalamazoo, MI 49009
Phone (269) 492-6575
1613 E Chicago Rd
Unit A
Sturgis, MI 49091
Phone (800) 696-4056
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- South Bend, IN
- NPI 1104183474
-
- Hearing Instrument Specialist
- South Bend, IN
- NPI 1679830947
-
- Audiologist
- Mishawaka, IN
- NPI 1447341367
-
- Audiologist-Hearing Aid Fitter
- Elkhart, IN
- NPI 1033220553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558483200000",
"number": "1013027242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 W CHARLOTTE ST",
"city": "CENTREVILLE",
"state": "MI",
"postal_code": "490329657",
"telephone_number": "269-271-5207",
"fax_number": "574-289-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 S FRANCES ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466173004",
"telephone_number": "574-232-5815",
"fax_number": "574-289-4327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D&A DISSOLVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2019-05-22",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "RAE DEANE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-271-5208",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IN",
"license": "23002137A",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MI",
"license": "3501002824",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IN",
"license": "23002216A",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100280770A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI HEARING AIDS",
"identifier": "540A402560",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804742301",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI AUDIOLOGY",
"identifier": "640A426010",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200122530A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM AUDIOLOGY/AIDS",
"identifier": "000000391214",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM AUDIOLOGY /AIDS",
"identifier": "000000247031",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200469120A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "903366906",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Darr & Associates, Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.