Organization Active NPI

Degryse Hearing Aid Center, Inc.

  • Hearing Instrument Specialist
  • Rapid City, SD
National Provider Identifier
1215053244
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
303H Issued in SD
Legal business name
DEGRYSE HEARING AID CENTER, INC.
Practice address
1141 Deadwood Ave
Suite #10
Rapid City, SD 57702-0391
Phone
(605) 737-9685
Fax
(605) 737-7668
NPI assigned
Mar 21, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kelly Degryse, H.A.D.NPI 1912348129
Title
President
Phone
(605) 737-9685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1141 Deadwood Ave
Ste 10
Rapid City, SD 57702
Phone (605) 737-9685

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 303H SD Primary

Addresses

NPPES NPI Registry

Primary practice location

1141 Deadwood Ave
Suite #10
Rapid City, SD 57702-0391

Mailing address

11879 Beverly Jean Rd
Sturgis, SD 57785-6963
Phone (605) 737-9685

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4996777OtherSDNON PPO# BCBS

Other names 1

NPPES NPI Registry
  • Beltone Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215053244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11879 BEVERLY JEAN RD",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577856963",
            "telephone_number": "605-737-9685",
            "fax_number": "605-737-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 DEADWOOD AVE",
            "address_2": "SUITE #10",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020391",
            "telephone_number": "605-737-9685",
            "fax_number": "605-737-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGRYSE HEARING AID CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGRYSE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-737-9685",
        "authorized_official_credential": "H.A.D."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "SD",
            "license": "303H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON PPO#  BCBS",
            "identifier": "4996777",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beltone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.