Active NPI
Corey Grace
- Hearing Instrument Specialist
- Cambridge, MN
National Provider Identifier
1356896369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Practice address
- 1820 2ND Ave SE Ste 360
Cambridge, MN 55008-4155 - Phone
- (763) 689-3226
- NPI assigned
- Aug 19, 2016
- Last updated
- Oct 22, 2016
- 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 | NU | Primary |
Addresses
Primary practice location
1820 2ND Ave SE Ste 360
Cambridge, MN 55008-4155
Mailing address
1802 Galloway St
Eau Claire, WI 54703-3467
Phone (715) 831-8966
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
| 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": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477094400000",
"number": "1356896369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 GALLOWAY ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547033467",
"telephone_number": "715-831-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 2ND AVE SE STE 360",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "550084155",
"telephone_number": "763-689-3226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "COREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-19",
"last_updated": "2016-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MN
- Jackie E Geving
- Gibbons Eye Clinic, Optometrists, P.a.
- Joseph Tait Gibbons, OD
- Samuel Robert Goblirsch, M.D.
- Beth Ann Good, DNP, APRN, PMHCNS-BC
- Shari L Graham, M.D.
- Grand St Paul CVS LLC (CVS Pharmacy #16646)
- Gretchen Grandgenett, MD
- Grandview Christian Home
- Grandview West Inc. (RiverHills Senior Living Community)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.