Active NPI
Sean P Norris, HAD
- Hearing Instrument Specialist
- South Bend, IN
National Provider Identifier
1033649082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 17001314A
- Practice address
- 2406 Mishawaka Ave
South Bend, IN 46615-2100 - Phone
- (574) 383-5595
- Fax
- (574) 520-1505
- NPI assigned
- Jun 13, 2017
- 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 | 17001314A | IN | Primary |
Addresses
Primary practice location
2406 Mishawaka Ave
South Bend, IN 46615-2100
Mailing address
2406 Mishawaka Ave
South Bend, IN 46615-2100
Phone (574) 383-5595
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 |
|---|---|---|---|
| 17001314A | IN | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Indiana Hearing Center | Current | Accepting new patients | |
| Hearing Aid Service | Hearing Instrument Specialist | Past | Accepting new patients |
| Indiana Hearing LLC | Past | Accepting new patients |
Locations
4217 Grape Rd
Mishawaka, IN 46545
Organizations & group practices 3
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.
-
- Hearing Aid Equipment
- South Bend, IN
- NPI 1902443161
-
- Hearing Instrument Specialist
- Mishawaka, IN
- NPI 1598153355
-
- Hearing Aid Equipment
- Indianapolis, IN
- NPI 1730627316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1033649082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 MISHAWAKA AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466152100",
"telephone_number": "574-383-5595",
"fax_number": "574-520-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 MISHAWAKA AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466152100",
"telephone_number": "574-383-5595",
"fax_number": "574-520-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "SEAN",
"middle_name": "P",
"credential": "HAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-13",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IN",
"license": "17001314A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.