Organization Active NPI

Dynamic Audiology Inc

  • Audiologist
  • Lansing, MI
National Provider Identifier
1396921110
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
DYNAMIC AUDIOLOGY INC
Practice address
3410 Belle Chase Way
Suite 700
Lansing, MI 48911-4282
Phone
(517) 887-7660
Fax
(517) 887-7661
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roger HughesNPI 1700934544
Title
President
Phone
(517) 887-7660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

3410 Belle Chase Way
Suite 700
Lansing, MI 48911-4282

Mailing address

3410 Belle Chase Way
Suite 700
Lansing, MI 48911-4282
Phone (517) 887-7660

Other identifiers 4

IdentifierTypeStateIssuer
200000000506OtherMIPHPMM
4684351MedicaidMI
4683710MedicaidMI
OC31283OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

3410 Belle Chase Way
Ste 700
Lansing, MI 48911
Phone (313) 364-9530

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1396921110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 BELLE CHASE WAY",
            "address_2": "SUITE 700",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114282",
            "telephone_number": "517-887-7660",
            "fax_number": "517-887-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 BELLE CHASE WAY",
            "address_2": "SUITE 700",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114282",
            "telephone_number": "517-887-7660",
            "fax_number": "517-887-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC AUDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-887-7660"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHPMM",
            "identifier": "200000000506",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4684351",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4683710",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OC31283",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.