Individual provider Active NPI

Duane Lee Wass, BC-HIS

  • Hearing Instrument Specialist
  • Danville, IN
National Provider Identifier
1164082806
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
17000664A Issued in IN
Practice address
52 W Main St Ste E
Danville, IN 46122-1704
Phone
(317) 657-8618
NPI assigned
Jun 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS5363 FL
Hearing Instrument Specialist 237700000X 17000664A IN Primary

Addresses

Primary practice location

52 W Main St Ste E
Danville, IN 46122-1704

Mailing address

52 W Main St Ste E
Danville, IN 46122-1704
Phone (317) 742-0212

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
AS5363FLMDHearing Instrument Specialist
17000664AINMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Key Hearing AIDS of Danville LLC CurrentSince Apr 10, 2022 Accepting new patients
Wass Hearing AIDS LLC Hearing Instrument Specialist CurrentSince Dec 26, 2021 Accepting new patients

Locations

52 W Main St
Ste E
Danville, IN 46122
Phone (317) 657-8618

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": "1560556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1164082806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W MAIN ST STE E",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221704",
            "telephone_number": "317-742-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W MAIN ST STE E",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221704",
            "telephone_number": "317-657-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASS",
        "first_name": "DUANE",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-15",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5363",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17000664A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.