Individual provider Active NPI

Shane Michael Short, BC-HIS

  • Hearing Instrument Specialist
  • Hot Springs, AR
National Provider Identifier
1356808489
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
630 Issued in AR
Practice address
4405 Central Ave Ste D
Hot Springs, AR 71913-7467
Phone
(501) 781-2003
Fax
(501) 781-2003
NPI assigned
Feb 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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 630 AR Primary

Addresses

Primary practice location

4405 Central Ave Ste D
Hot Springs, AR 71913-7467

Mailing address

4405 Central Ave Ste D
Hot Springs, AR 71913-7467
Phone (501) 781-2002

Other practice location 1

4585 N Highway 7 Ste 12
Hot Springs Village, AR 71909-8202
Phone (501) 404-2067

Other identifiers 1

IdentifierTypeStateIssuer
AR-630OtherARAUDIOMETRIC EVALUATIONS, ADJUSTMENTS, HEARING AID REPAIRS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hotspring@midwestbeltone.com Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Hearing Center Inc. PastSince Feb 17, 2016 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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1356808489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 CENTRAL AVE STE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719137467",
            "telephone_number": "501-781-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 CENTRAL AVE STE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719137467",
            "telephone_number": "501-781-2003",
            "fax_number": "501-781-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4585 N Highway 7 Ste 12",
            "address_purpose": "LOCATION",
            "city": "Hot Springs Village",
            "state": "AR",
            "postal_code": "719098202",
            "country_code": "US",
            "telephone_number": "501-404-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "SHANE",
        "middle_name": "MICHAEL",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AR",
            "license": "630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOMETRIC EVALUATIONS, ADJUSTMENTS, HEARING AID REPAIRS",
            "identifier": "AR-630",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hotspring@midwestbeltone.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Audio Information",
            "address_1": "4585 N Highway 7 Ste 12",
            "city": "Hot Springs Village",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719098202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.