Individual provider Active NPI

Jay Thomas Craft, HEARING AID SPEC

  • Hearing Instrument Specialist
  • Sheridan, WY
National Provider Identifier
1073929741
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
185 Issued in WY
Practice address
1949 Sugarland Dr
Suite 252
Sheridan, WY 82801-5755
Phone
(307) 674-8920
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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 185 WY Primary

Addresses

Primary practice location

1949 Sugarland Dr
Suite 252
Sheridan, WY 82801-5755

Mailing address

1949 Sugarland Dr Ste 180
Sheridan, WY 82801-5720
Phone (307) 257-2152

Other identifiers 1

IdentifierTypeStateIssuer
185OtherWYWY BOARD OF HEARING AID SPECIALISTS

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
185WYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ebia Hearing & Sound, LLC Hearing Instrument Specialist CurrentSince Jan 14, 2024 Accepting new patients

Locations

1949 Sugarland Dr
Ste 252
Sheridan, WY 82801
Phone (307) 674-8920

1273 Coffeen Ave
Sheridan, WY 82801
Phone (307) 674-8920

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1073929741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 SUGARLAND DR STE 180",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015720",
            "telephone_number": "307-257-2152",
            "fax_number": "307-674-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 SUGARLAND DR",
            "address_2": "SUITE 252",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015755",
            "telephone_number": "307-674-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "JAY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "HEARING AID SPEC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WY",
            "license": "185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WY BOARD OF HEARING AID SPECIALISTS",
            "identifier": "185",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.