Individual provider Active NPI

Larry J Byle, AUD, F.A.A.A

  • Audiologist
  • Rochester, MI
National Provider Identifier
1033223201
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000068 Issued in MI
Practice address
134 W University Dr
Suite 203
Rochester, MI 48307-1951
Phone
(248) 608-8881
Fax
(248) 608-8879
NPI assigned
Aug 18, 2006
Last updated
Sep 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000068 MI Primary
Audiologist-Hearing Aid Fitter 237600000X 3501001544 MI

Addresses

Primary practice location

134 W University Dr
Suite 203
Rochester, MI 48307-1951

Mailing address

134 W University Dr
Suite 203
Rochester, MI 48307-1951
Phone (248) 608-8881

Other identifiers 2

IdentifierTypeStateIssuer
640F32642OtherMIBLUE CROSS IDENTIFIER
904290689MedicaidMI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601000068MIMDAudiologist
3501001544MIMDAudiologist-Hearing Aid Fitter

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1033223201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W UNIVERSITY DR",
            "address_2": "SUITE 203",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071951",
            "telephone_number": "248-608-8881",
            "fax_number": "248-608-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W UNIVERSITY DR",
            "address_2": "SUITE 203",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071951",
            "telephone_number": "248-608-8881",
            "fax_number": "248-608-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYLE",
        "first_name": "LARRY",
        "middle_name": "J",
        "credential": "AUD, F.A.A.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000068",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "3501001544",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IDENTIFIER",
            "identifier": "640F32642",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904290689",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.