Active NPI
Corey L Nelson
- Hearing Instrument Specialist
- Piqua, OH
National Provider Identifier
1316657331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- IL.03446
- Practice address
- 1520 Covington Ave
Piqua, OH 45356-2801 - Phone
- (937) 749-4971
- NPI assigned
- Nov 30, 2022
- 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 | IL.03446 | OH | Primary |
Addresses
Primary practice location
1520 Covington Ave
Piqua, OH 45356-2801
Mailing address
11260 Chester Rd
Cincinnati, OH 45246-4048
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.miracle-ear.com/piquaoh |
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 |
|---|---|---|---|
| IL.03446 | OH | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meoh, LLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1316657331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11260 CHESTER RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452464048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 COVINGTON AVE",
"city": "PIQUA",
"state": "OH",
"postal_code": "453562801",
"telephone_number": "937-749-4971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "COREY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OH",
"license": "IL.03446",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.miracle-ear.com/piquaoh",
"affiliation": "N",
"address_1": "1520 Covington Ave",
"city": "Piqua",
"state": "OH",
"country_code": "US",
"postal_code": "453562801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Piqua, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.