Individual provider Active NPI

Trevor Johnson

  • Hearing Instrument Specialist
  • Spartanburg, SC
National Provider Identifier
1376201012
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAS0707 Issued in SC
Practice address
2500 Winchester PL Ste 103
Spartanburg, SC 29301-1550
Phone
(864) 913-1092
NPI assigned
Nov 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 HAS0707 SC Primary

Addresses

Primary practice location

2500 Winchester PL Ste 103
Spartanburg, SC 29301-1550

Mailing address

2500 Winchester PL Ste 103
Spartanburg, SC 29301-1550

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

LicenseStateTypeSpecialty
HAS0707SCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
My Hearing Centers Holding Inc. Hearing Instrument Specialist CurrentSince Dec 5, 2021 Accepting new patients
My Hearing Centers Holding Inc. Hearing Instrument Specialist PastSince Dec 5, 2021 Accepting new patients

Locations

2500 Winchester Pl
Ste 103
Spartanburg, SC 29301
Phone (864) 576-7004

Organizations & group practices 2

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1376201012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WINCHESTER PL STE 103",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WINCHESTER PL STE 103",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011550",
            "telephone_number": "864-913-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TREVOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "SC",
            "license": "HAS0707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.