Active NPI
Christopher D Pelletier
- Hearing Instrument Specialist
- Ralston, WY
National Provider Identifier
1124305339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 163
- Practice address
- 557 Main Street
Box 721
Ralston, WY 82440-0721 - Phone
- (307) 754-3464
- Fax
- (307) 754-3464
- NPI assigned
- Nov 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 163 | WY | Primary |
Addresses
Primary practice location
557 Main Street
Box 721
Ralston, WY 82440-0721
Mailing address
PO Box 721
557 Main Street
Ralston, WY 82440-0721
Phone (307) 754-3464
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Mountain Hearing LLC | Hearing Instrument Specialist | Current | 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.
-
- Hearing Instrument Specialist
- Ralston, WY
- NPI 1184965196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1124305339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 721",
"address_2": "557 MAIN STREET",
"city": "RALSTON",
"state": "WY",
"postal_code": "824400721",
"telephone_number": "307-754-3464",
"fax_number": "307-754-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 MAIN STREET",
"address_2": "BOX 721",
"city": "RALSTON",
"state": "WY",
"postal_code": "824400721",
"telephone_number": "307-754-3464",
"fax_number": "307-754-3464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLETIER",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-16",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WY",
"license": "163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ralston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.