Active NPI
Jan Marie Richards, HIS
- Hearing Instrument Specialist
- Dickinson, ND
National Provider Identifier
1306095187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- H-0313
- Practice address
- 925 W Villard St
Dickinson, ND 58601-4843 - Phone
- (701) 227-4403
- Fax
- (701) 483-4405
- NPI assigned
- Sep 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiology Assistant | 2355A2700X | 200448 | CO | |
| Hearing Instrument Specialist | 237700000X | 200448 | CO | |
| Hearing Instrument Specialist | 237700000X | H-0313 | ND | Primary |
Addresses
Primary practice location
925 W Villard St
Dickinson, ND 58601-4843
Mailing address
925 W Villard St
Dickinson, ND 58601-4843
Phone (701) 227-4403
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 |
|---|---|---|---|
| 200448 | CO | MD | Audiology Assistant |
| H-0313 | ND | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willmar Hearing Aid Center | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Professional Hearing Center
- Hearing Instrument Specialist
- Dickinson, ND
- NPI 1881968097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1306095187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 W VILLARD ST",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014843",
"telephone_number": "701-227-4403",
"fax_number": "701-483-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 W VILLARD ST",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014843",
"telephone_number": "701-227-4403",
"fax_number": "701-483-4405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "JAN",
"middle_name": "MARIE",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2355A2700X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Audiology Assistant",
"state": "CO",
"license": "200448",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CO",
"license": "200448",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "ND",
"license": "H-0313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.