Individual provider Active NPI

Jason Todoroski, HIS

  • Hearing Instrument Specialist
  • Center Line, MI
National Provider Identifier
1225876949
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3501007969 Issued in MI
Practice address
26834 Lawrence
Center Line, MI 48015-1262
Phone
(586) 600-5907
Fax
(586) 759-5778
NPI assigned
Jul 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 3501007969 MI Primary

Addresses

Primary practice location

26834 Lawrence
Center Line, MI 48015-1262

Mailing address

26834 Lawrence
Center Line, MI 48015-1262
Phone (586) 600-5907

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
3501007969MIMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1225876949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26834 LAWRENCE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151262",
            "telephone_number": "586-600-5907",
            "fax_number": "586-759-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26834 LAWRENCE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151262",
            "telephone_number": "586-600-5907",
            "fax_number": "586-759-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODOROSKI",
        "first_name": "JASON",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501007969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.