Active NPI
Daniel J Criss, HIS
- Hearing Instrument Specialist
- Poulsbo, WA
National Provider Identifier
1205110210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA00003666
- Practice address
- 20669 Bond Rd NE
Ste 100
Poulsbo, WA 98370 - Phone
- (360) 779-2020
- Fax
- (360) 779-3093
- NPI assigned
- Oct 10, 2011
- 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 | HA00003666 | WA | Primary |
Addresses
Primary practice location
20669 Bond Rd NE
Ste 100
Poulsbo, WA 98370
Mailing address
20669 Bond Rd NE
Ste 100
Poulsbo, WA 98370
Phone (360) 779-2020
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 |
|---|---|---|---|
| HA00003666 | WA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1205110210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20669 BOND RD NE",
"address_2": "STE 100",
"city": "POULSBO",
"state": "WA",
"postal_code": "98370",
"telephone_number": "360-779-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20669 BOND RD NE",
"address_2": "STE 100",
"city": "POULSBO",
"state": "WA",
"postal_code": "98370",
"telephone_number": "360-779-2020",
"fax_number": "360-779-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISS",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-10",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WA",
"license": "HA00003666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.