NPIMap

Individual provider Active NPI

Daniel Cassidy, HIS

  • Hearing Instrument Specialist
  • Bear, DE
National Provider Identifier
1104425768
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
O3-0010282 Issued in DE
Practice address
14 Foxhunt Dr
Bear, DE 19701-2534
Phone
(410) 392-2797
Fax
(856) 665-6813
NPI assigned
Oct 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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 O3-0010282 DE Primary

Addresses

Primary practice location

14 Foxhunt Dr
Bear, DE 19701-2534

Mailing address

329 Marlton Pike West
Miracle-Ear Center
Cherry Hill, NJ 08002
Phone (856) 471-7870

Other identifiers 1

IdentifierTypeStateIssuer
O3-0010282OtherDESTATE OF DELAWARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AdminOffice@HearMiracleEar.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Atlantic Hearing LLC PastSince Oct 25, 2020 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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1104425768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MARLTON PIKE WEST",
            "address_2": "MIRACLE-EAR CENTER",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08002",
            "telephone_number": "856-471-7870",
            "fax_number": "856-665-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FOXHUNT DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012534",
            "telephone_number": "410-392-2797",
            "fax_number": "856-665-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "DANIEL",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "DE",
            "license": "O3-0010282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF DELAWARE",
            "identifier": "O3-0010282",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AdminOffice@HearMiracleEar.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "329 Marlton Pike West",
            "address_2": "Miracle-Ear Center",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.