Active NPI
Da Mok Min, AUD
- Audiologist
- Parris Island, SC
National Provider Identifier
1053196931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU3795
- Practice address
- Branch Health Clinic (BHC) Parris Island
670 Boulevard de France
Parris Island, SC 29905 - Phone
- (843) 228-2528
- NPI assigned
- Aug 29, 2023
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU3795 | CA | Primary |
Addresses
Primary practice location
Branch Health Clinic (BHC) Parris Island
670 Boulevard de France
Parris Island, SC 29905
Mailing address
Branch Health Clinic (BHC) Parris Island
670 Boulevard de France
Parris Island, SC 29905
Phone (843) 228-2528
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 |
|---|---|---|---|
| AU3795 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1053196931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BRANCH HEALTH CLINIC (BHC) PARRIS ISLAND",
"address_2": "670 BOULEVARD DE FRANCE",
"city": "PARRIS ISLAND",
"state": "SC",
"postal_code": "29905",
"telephone_number": "843-228-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BRANCH HEALTH CLINIC (BHC) PARRIS ISLAND",
"address_2": "670 BOULEVARD DE FRANCE",
"city": "PARRIS ISLAND",
"state": "SC",
"postal_code": "29905",
"telephone_number": "843-228-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIN",
"first_name": "DA MOK",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-29",
"last_updated": "2025-02-28",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU3795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parris Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.