Active NPI
John T Gray
- Hearing Instrument Specialist
- Chippewa Falls, WI
National Provider Identifier
1174760813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1253-060
- Practice address
- 218 Island St
Chippewa Falls, WI 54729-2351 - Phone
- (715) 726-0931
- NPI assigned
- Jan 16, 2009
- Sex
- Male
- 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 | 1253-060 | WI | Primary |
Addresses
Primary practice location
218 Island St
Chippewa Falls, WI 54729-2351
Mailing address
1802 Galloway St
Eau Claire, WI 54703-3467
Phone (715) 831-8966
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 |
|---|---|---|---|
| 1253-060 | WI | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid West Hearing LLC | 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": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1174760813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 GALLOWAY ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547033467",
"telephone_number": "715-831-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 ISLAND ST",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547292351",
"telephone_number": "715-726-0931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JOHN",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-16",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": "1253-060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chippewa Falls, WI
- Brenda K Goettl, CSW, CADC III
- Grace Lutheran Foundation, Inc. (Grace Adult Day Services -Chippewa Falls)
- Verna Lea Grams, PTA
- Jacey T Graser, NP
- Joan M Gray, H.I.S
- Kristine Marie Greener, PTA
- Megan Beth Griebenow, MSW, APSW
- Louise Ellen Gruenwald, MS LCSW CADCIII
- James Randall Guilhas, CSAC
- Sierra Dawn Gunderson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.