Individual provider Active NPI

Dennis L Athey, HID

  • Hearing Instrument Specialist
  • Mankato, MN
National Provider Identifier
1194953042
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2417 Issued in MN
Practice address
1057 Madison Ave
Mankato, MN 56001
Phone
(507) 386-7502
Fax
(507) 386-7584
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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 MN
Hearing Instrument Specialist 237700000X 2417 MN Primary

Addresses

Primary practice location

1057 Madison Ave
Mankato, MN 56001

Mailing address

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

Other practice location 1

1057 Madison Ave
Mankato, MN 56001
Phone (507) 386-7502

Other practice location 2

5747 Blaine Ave Ste 104
Inver Grove Heights, MN 55076-1225
Phone (651) 967-7753

Other practice location 3

1057 Madison Ave
Mankato, MN 56001
Phone (507) 386-7502

Other practice location 4

205 Lewis St S
Shakopee, MN 55379-1459
Phone (952) 746-8688

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
2417MNMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1194953042",
    "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": "1057 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-386-7502",
            "fax_number": "507-386-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1057 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "56001",
            "country_code": "US",
            "telephone_number": "507-386-7502",
            "fax_number": "507-386-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5747 Blaine Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Inver Grove Heights",
            "state": "MN",
            "postal_code": "550761225",
            "country_code": "US",
            "telephone_number": "651-967-7753",
            "fax_number": "651-451-8309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1057 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "56001",
            "country_code": "US",
            "telephone_number": "507-386-7502",
            "fax_number": "507-386-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Lewis St S",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553791459",
            "country_code": "US",
            "telephone_number": "952-746-8688",
            "fax_number": "855-239-7375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATHEY",
        "first_name": "DENNIS",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "HID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.