Individual provider Active NPI

Dustin Jacob McMinn, HAS

  • Hearing Instrument Specialist
  • The Dalles, OR
National Provider Identifier
1114431939
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
10181198 Issued in OR
Practice address
302 E 4TH St
The Dalles, OR 97058-2208
Phone
(909) 262-7027
NPI assigned
Dec 1, 2017
Reactivated
Dec 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 10181198 OR Primary

Addresses

Primary practice location

302 E 4TH St
The Dalles, OR 97058-2208

Mailing address

302 E 4TH St
The Dalles, OR 97058-2208
Phone (909) 262-7027

Other practice location 1

1814 Belmont Ave
Hood River, OR 97031-1658
Phone (541) 386-1666

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
10181198ORMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
My Hearing Centers Hearing Instrument Specialist Past Accepting new patients
Cascade Hearing Aid Center Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 2

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": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114431939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E 4TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582208",
            "telephone_number": "909-262-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E 4TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582208",
            "telephone_number": "909-262-7027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Hood River",
            "state": "OR",
            "postal_code": "970311658",
            "country_code": "US",
            "telephone_number": "541-386-1666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMINN",
        "first_name": "DUSTIN",
        "middle_name": "JACOB",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-01",
        "last_updated": "2018-03-17",
        "deactivation_date": "2017-12-01",
        "reactivation_date": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "10181198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.