Individual provider Active NPI

Noah Lange

  • Hearing Instrument Specialist
  • Waukesha, WI
National Provider Identifier
1396298170
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1502-60 Issued in WI
Practice address
1428 E Racine Ave
Waukesha, WI 53186-6462
Phone
(262) 269-5107
NPI assigned
Jul 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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 1502-60 WI Primary

Addresses

Primary practice location

1428 E Racine Ave
Waukesha, WI 53186-6462

Mailing address

720 N Rochester St
Mukwonago, WI 53149-1188
Phone (262) 269-5107

Other practice location 1

720 N Rochester St Ste 23
Mukwonago, WI 53149-1188
Phone (262) 269-5107

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
1502-60WIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Hearing Care LLC Hearing Instrument Specialist CurrentSince Jul 31, 2023 Accepting new patients

Locations

720 N Rochester St
Ste 23
Mukwonago, WI 53149
Phone (262) 269-5107

720 N Rochester St
Mukwonago, WI 53149
Phone (262) 269-5107

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1396298170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N ROCHESTER ST",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491188",
            "telephone_number": "262-269-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 E RACINE AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866462",
            "telephone_number": "262-269-5107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 N Rochester St Ste 23",
            "address_purpose": "LOCATION",
            "city": "Mukwonago",
            "state": "WI",
            "postal_code": "531491188",
            "country_code": "US",
            "telephone_number": "262-269-5107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "NOAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1502-60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.