Active NPI
Timothy James Higgins, B.C., H.I.S.
- Hearing Instrument Specialist
- Traverse City, MI
National Provider Identifier
1194941609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3501001790
- Practice address
- 205 S Madison St
Traverse City, MI 49684-2321 - Phone
- (231) 947-2420
- Fax
- (231) 947-3009
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 3501001790 | MI | Primary |
Addresses
Primary practice location
205 S Madison St
Traverse City, MI 49684-2321
Mailing address
4237 Jeri Rd
Interlochen, MI 49643-9621
Phone (231) 275-7165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54OB80260 | Other | MI | PROVIDER PIN NUMBER |
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 |
|---|---|---|---|
| 3501001790 | MI | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194941609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4237 JERI RD",
"city": "INTERLOCHEN",
"state": "MI",
"postal_code": "496439621",
"telephone_number": "231-275-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S MADISON ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842321",
"telephone_number": "231-947-2420",
"fax_number": "231-947-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "TIMOTHY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "B.C., H.I.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MI",
"license": "3501001790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER PIN NUMBER",
"identifier": "54OB80260",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.