Active NPI
Erik Wilson
- Hearing Instrument Specialist
- Duluth, MN
National Provider Identifier
1356855399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2790
- Practice address
- 1301 Miller Trunk Hwy Ste 500
Duluth, MN 55811-5644 - Phone
- (218) 720-3787
- NPI assigned
- Nov 29, 2017
- Last updated
- Nov 29, 2017
- 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 | 2790 | MN | Primary |
Addresses
Primary practice location
1301 Miller Trunk Hwy Ste 500
Duluth, MN 55811-5644
Mailing address
1301 Miller Trunk Hwy Ste 500
Duluth, MN 55811-5644
Phone (218) 720-3787
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 |
|---|---|---|---|
| 2790 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid West Hearing 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Miracle Ear
- Hearing Aid Equipment
- Hermantown, MN
- NPI 1184811267
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1356855399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 MILLER TRUNK HWY STE 500",
"city": "DULUTH",
"state": "MN",
"postal_code": "558115644",
"telephone_number": "218-720-3787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 MILLER TRUNK HWY STE 500",
"city": "DULUTH",
"state": "MN",
"postal_code": "558115644",
"telephone_number": "218-720-3787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ERIK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-29",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MN",
"license": "2790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.