Individual provider Active NPI

Larry Dain Huston, BC-HIS

  • Hearing Instrument Specialist
  • Clackamas, OR
National Provider Identifier
1184754392
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAS-P-281719 Issued in OR
Practice address
8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone
(503) 256-7200
Fax
(503) 653-9125
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X OR
Hearing Instrument Specialist 237700000X HAS-P-281719 OR Primary

Addresses

Primary practice location

8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703

Mailing address

6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (800) 328-8602

Other practice location 1

975 Market St NE
Salem, OR 97301-1131
Phone (503) 315-2055

Other practice location 2

1939 E Burnside St
Portland, OR 97214-1535
Phone (503) 233-6141

Other practice location 3

350 NW Eastman Pkwy
Gresham, OR 97030-7203
Phone (503) 667-3832

Other practice location 4

325 NE Baker Creek Rd
McMinnville, OR 97128-2019
Phone (503) 472-5554

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
HAS-P-281719ORMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter 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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1184754392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405",
            "telephone_number": "800-328-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 300N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "503-256-7200",
            "fax_number": "503-653-9125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Market St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973011131",
            "country_code": "US",
            "telephone_number": "503-315-2055",
            "fax_number": "503-315-2057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1939 E Burnside St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972141535",
            "country_code": "US",
            "telephone_number": "503-233-6141",
            "fax_number": "503-233-2889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 NW Eastman Pkwy",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307203",
            "country_code": "US",
            "telephone_number": "503-667-3832",
            "fax_number": "503-465-4768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 NE Baker Creek Rd",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971282019",
            "country_code": "US",
            "telephone_number": "503-472-5554",
            "fax_number": "503-474-0998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "LARRY",
        "middle_name": "DAIN",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HAS-P-281719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.