Individual provider Active NPI

John Denaro IV, BC-HIS

  • Hearing Instrument Specialist
  • Webster, NY
National Provider Identifier
1134755069
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
14000041037 Issued in NY
Practice address
1900 Empire Boulevard
Miracle Ear
Webster, NY 14580
Phone
(585) 671-2880
Fax
(585) 671-2883
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 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 14000041037 NY Primary

Addresses

Primary practice location

1900 Empire Boulevard
Miracle Ear
Webster, NY 14580

Mailing address

1900 Empire Boulevard
Miracle Ear
Webster, NY 14580
Phone (585) 671-2880

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
14000041037NYMDHearing Instrument Specialist

Interoperability endpoints

  • Direct secure messaging: jdenaro@cchb.medentdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1134755069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 EMPIRE BOULEVARD",
            "address_2": "MIRACLE EAR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "14580",
            "telephone_number": "585-671-2880",
            "fax_number": "585-671-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 EMPIRE BOULEVARD",
            "address_2": "MIRACLE EAR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "14580",
            "telephone_number": "585-671-2880",
            "fax_number": "585-671-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENARO",
        "first_name": "JOHN",
        "name_suffix": "IV",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000041037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

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