Organization Active NPI

D&a Dissolving, Inc.

  • Audiologist-Hearing Aid Fitter
  • South Bend, IN
National Provider Identifier
1013027242
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
23002137A Issued in IN
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

Updated by the provider on May 22, 2019

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)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 23002137A IN Primary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 3501002824 MI
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 23002216A IN
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100280770AMedicaidIN
540A402560OtherMIBCBS MI HEARING AIDS
804742301MedicaidMI
640A426010OtherMIBCBS MI AUDIOLOGY
200122530AMedicaidIN
000000391214OtherINANTHEM AUDIOLOGY/AIDS
000000247031OtherINANTHEM AUDIOLOGY /AIDS
200469120AMedicaidIN
903366906MedicaidMI

Other names 1

  • Darr & Associates, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.