NPIMap

Organization Active NPI

Hearing Basilia Corporation

  • Hearing Instrument Specialist
  • Green Bay, WI
National Provider Identifier
1215061890
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1198 Issued in WI
Legal business name
HEARING BASILIA CORPORATION
Practice address
425 Packerland Dr
Green Bay, WI 54303-4859
Phone
(920) 420-9345
Fax
(920) 429-9356
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Joseph Gillis
Title
Hearing Aid Specialist
Phone
(920) 429-9345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 1198 WI Primary

Addresses

Primary practice location

425 Packerland Dr
Green Bay, WI 54303-4859

Mailing address

425 Packerland Dr
Green Bay, WI 54303-4859
Phone (920) 420-9345

Other names 1

  • Beltone Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beltone2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

425 Packerland Dr
Green Bay, WI 54303
Phone (920) 420-9345

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215061890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PACKERLAND DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034859",
            "telephone_number": "920-420-9345",
            "fax_number": "920-429-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PACKERLAND DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034859",
            "telephone_number": "920-420-9345",
            "fax_number": "920-429-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING BASILIA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "HEARING AID SPECIALIST",
        "authorized_official_telephone_number": "920-429-9345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beltone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

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.