Harlan Roger Perry Jr., HEARING AID DISPENSE

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA0016930 Issued in CA

Practice address

782 Delnero Dr
Sonora, CA 95370-5223

Phone

(209) 532-4008

Fax

(209) 532-6723

NPI assigned

Jun 21, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124224860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 DELNERO DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705223",
            "telephone_number": "209-532-4008",
            "fax_number": "209-532-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 DELNERO DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705223",
            "telephone_number": "209-532-4008",
            "fax_number": "209-532-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "HARLAN",
        "middle_name": "ROGER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "HEARING AID DISPENSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA0016930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Matthew Lincoln Personius, M.D.
• Peter a. Beoris, MD, Inc.
• Alan E. Peters, M.D.
• Christi L Petersen, FNP
• Samuel George Petersen, D.D.S.

• Hearing Instrument Specialist in Sonora, CA
• Providers in Sonora, CA by specialty
• Hearing Instrument Specialist in California

• 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.

Verify at the official NPI Registry.