Individual provider Active NPI

Joshua Ryan Rothwell

  • Hearing Instrument Specialist
  • Shelbyville, IN
National Provider Identifier
1104396126
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
17001513A Issued in IN
Practice address
1209 E State Road 44
Shelbyville, IN 46176-1773
Phone
(317) 604-5183
Fax
(317) 291-3376
NPI assigned
Dec 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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 17001513A IN Primary

Addresses

Primary practice location

1209 E State Road 44
Shelbyville, IN 46176-1773

Mailing address

1209 E State Road 44
Shelbyville, IN 46176-1773
Phone (317) 604-5183

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
17001513AINMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1104396126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 E STATE ROAD 44",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761773",
            "telephone_number": "317-604-5183",
            "fax_number": "317-291-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 E STATE ROAD 44",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761773",
            "telephone_number": "317-604-5183",
            "fax_number": "317-291-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHWELL",
        "first_name": "JOSHUA",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001513A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.