Individual provider Active NPI

Eric Dennis Shrive

  • Hearing Instrument Specialist
  • Hellertown, PA
National Provider Identifier
1124636790
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
FO3072 Issued in PA
Practice address
427 Main St
Hellertown, PA 18055-1721
Phone
(610) 838-6637
NPI assigned
Jul 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 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 FO3072 PA Primary

Addresses

Primary practice location

427 Main St
Hellertown, PA 18055-1721

Mailing address

427 Main St
Hellertown, PA 18055-1721
Phone (610) 838-6637

Other practice location 1

1325 Chestnut St
Emmaus, PA 18049-1918
Phone (610) 965-4327

Other practice location 2

1619 N 9th St
Stroudsburg, PA 18360-6501
Phone (570) 476-9949

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
FO3072PAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Hearing LLC Hearing Instrument Specialist Past 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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1124636790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 MAIN ST",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180551721",
            "telephone_number": "610-838-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 MAIN ST",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180551721",
            "telephone_number": "610-838-6637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Emmaus",
            "state": "PA",
            "postal_code": "180491918",
            "country_code": "US",
            "telephone_number": "610-965-4327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 N 9th St",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183606501",
            "country_code": "US",
            "telephone_number": "570-476-9949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRIVE",
        "first_name": "ERIC",
        "middle_name": "DENNIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "FO3072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hellertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.