Individual provider Active NPI

Shawn McDonald, HAD

  • Hearing Instrument Specialist
  • Surprise, AZ
National Provider Identifier
1073325767
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
13652 Issued in AZ
Practice address
14545 W Grand Ave Ste 105
Surprise, AZ 85374-7279
Phone
(623) 975-0108
NPI assigned
Jan 21, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 13652 AZ Primary

Addresses

Primary practice location

14545 W Grand Ave Ste 105
Surprise, AZ 85374-7279

Mailing address

14545 W Grand Ave Ste 105
Surprise, AZ 85374-7279
Phone (623) 975-0108

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
13652AZMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Menm, LLC Single Specialty PastSince Jan 26, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1073325767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 W GRAND AVE STE 105",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747279",
            "telephone_number": "623-975-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 W GRAND AVE STE 105",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747279",
            "telephone_number": "623-975-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "HAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "13652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.