Active NPI
Michele Bennington
- Hearing Instrument Specialist
- Fort Wayne, IN
National Provider Identifier
1164817656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 17001413A
- Practice address
- 7720 Lima Rd
Fort Wayne, IN 46818-2163 - Phone
- (260) 482-8503
- NPI assigned
- Apr 1, 2015
- Last updated
- Dec 21, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 17001413A | IN | Primary |
Addresses
Primary practice location
7720 Lima Rd
Fort Wayne, IN 46818-2163
Mailing address
7720 Lima Rd
Fort Wayne, IN 46818-2163
Phone (260) 482-8503
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17001413A | IN | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1164817656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7720 LIMA RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468182163",
"telephone_number": "260-482-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7720 LIMA RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468182163",
"telephone_number": "260-482-8503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNINGTON",
"first_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-01",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IN",
"license": "17001413A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.