Active NPI
St Croix Hearing LLC
- Hearing Aid Equipment
- Lakeland, MN
National Provider Identifier
1104051739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- License
- 2532
- Legal business name
- ST CROIX HEARING LLC
- Practice address
- 44 Saint Croix TRL S Ste 170
St Croix Business Center
Lakeland, MN 55043-9663 - Phone
- (651) 436-6002
- NPI assigned
- May 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James D Sopland, BC-HIS
- Title
- Hearing Aid Dispenser
- Phone
- (651) 436-6002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | 2532 | MN | Primary |
Addresses
Primary practice location
44 Saint Croix TRL S Ste 170
St Croix Business Center
Lakeland, MN 55043-9663
Mailing address
44 Saint Croix TRL S Ste 170
St Croix Business Center
Lakeland, MN 55043-9663
Phone (651) 436-6002
National Provider Directory
National Provider DirectoryLocations
44 Saint Croix Trl S
Ste 170
Lakeland, MN 55043
Phone (651) 436-6002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243382400000",
"number": "1104051739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 SAINT CROIX TRL S STE 170",
"address_2": "ST CROIX BUSINESS CENTER",
"city": "LAKELAND",
"state": "MN",
"postal_code": "550439663",
"telephone_number": "651-436-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 SAINT CROIX TRL S STE 170",
"address_2": "ST CROIX BUSINESS CENTER",
"city": "LAKELAND",
"state": "MN",
"postal_code": "550439663",
"telephone_number": "651-436-6002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST CROIX HEARING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-27",
"last_updated": "2009-05-27",
"status": "A",
"authorized_official_last_name": "SOPLAND",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "HEARING AID DISPENSER",
"authorized_official_telephone_number": "651-436-6002",
"authorized_official_credential": "BC-HIS"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "MN",
"license": "2532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.