NPIMap

Organization Active NPI

Robert J. Denyse, Inc.

  • Hearing Aid Equipment
  • Fort Wayne, IN
National Provider Identifier
1043589831
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
23002372A Issued in IN
Legal business name
ROBERT J. DENYSE, INC.
Practice address
217 W Wayne St
Fort Wayne, IN 46802-3605
Phone
(260) 426-3409
Fax
(260) 426-0127
NPI assigned
Dec 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Mr. Robert J. DenyseNPI 1649319724
Title
Owner
Phone
(260) 426-3409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 23002372A IN Primary

Addresses

Primary practice location

217 W Wayne St
Fort Wayne, IN 46802-3605

Mailing address

217 W Wayne St
Fort Wayne, IN 46802-3605
Phone (260) 426-3409

Other identifiers 1

IdentifierTypeStateIssuer
200520080AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120104000201 IN Part B Supplier - Clinic/Group Practice 3678749207 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Wayne, IN

National Provider Directory

National Provider Directory
Tax ID family
Robert J Denyse Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

217 W Wayne St
Fort Wayne, IN 46802
Phone (260) 426-3409

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1043589831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023605",
            "telephone_number": "260-426-3409",
            "fax_number": "260-426-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023605",
            "telephone_number": "260-426-3409",
            "fax_number": "260-426-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. DENYSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "DENYSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-426-3409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "IN",
            "license": "23002372A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200520080A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.