Individual provider Active NPI

Dennis Jerome Tembreull, H.I.S

  • Hearing Instrument Specialist
  • Puyallup, WA
National Provider Identifier
1104020148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2602 Issued in WA
Practice address
16007 56TH Avenue CT E
Suite 2
Puyallup, WA 98375-9004
Phone
(253) 535-6386
Fax
(253) 535-9723
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2602 WA Primary

Addresses

Primary practice location

16007 56TH Avenue CT E
Suite 2
Puyallup, WA 98375-9004

Mailing address

1402 Williams Ave NW
Orting, WA 98360-8468
Phone (253) 535-6386

Other identifiers 1

IdentifierTypeStateIssuer
0190385OtherWALABOR AND INDUSTRIES PROV

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
2602WAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Audiology Incorperated Past 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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104020148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 WILLIAMS AVE NW",
            "city": "ORTING",
            "state": "WA",
            "postal_code": "983608468",
            "telephone_number": "253-535-6386",
            "fax_number": "253-535-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16007 56TH AVENUE CT E",
            "address_2": "SUITE 2",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759004",
            "telephone_number": "253-535-6386",
            "fax_number": "253-535-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMBREULL",
        "first_name": "DENNIS",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "H.I.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "2602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES PROV",
            "identifier": "0190385",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.