Active NPI
Dennis Jerome Tembreull, H.I.S
- Hearing Instrument Specialist
- Puyallup, WA
National Provider Identifier
1104020148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2602
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0190385 | Other | WA | LABOR 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2602 | WA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Hearing Aid Equipment
- Puyallup, WA
- NPI 1780907394
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.