Individual provider Active NPI

Eric John Ellingson, BC-HIS

  • Hearing Instrument Specialist
  • Great Falls, MT
National Provider Identifier
1053739466
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
227 Issued in MT
Practice address
1701 11TH Ave S
Great Falls, MT 59405-4849
Phone
(800) 562-6235
Fax
(406) 761-7972
NPI assigned
Apr 2, 2014
Last updated
Apr 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 227 MT Primary

Addresses

Primary practice location

1701 11TH Ave S
Great Falls, MT 59405-4849

Mailing address

1701 11TH Ave S
Great Falls, MT 59405-4849
Phone (800) 562-6235

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

LicenseStateTypeSpecialty
227MTMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Prescription Design Hearing Aid Center, Inc. Hearing Instrument Specialist CurrentSince Nov 15, 2007 Accepting new patients

Locations

1701 11th Ave S
Great Falls, MT 59405
Phone (406) 761-0611

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1053739466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 11TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054849",
            "telephone_number": "800-562-6235",
            "fax_number": "406-761-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 11TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054849",
            "telephone_number": "800-562-6235",
            "fax_number": "406-761-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGSON",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MT",
            "license": "227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.