Active NPI
Dynamic Audiology Inc
- Audiologist
- Lansing, MI
National Provider Identifier
1396921110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roger Hughes
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200000000506 | Other | MI | PHPMM |
| 4684351 | Medicaid | MI | |
| 4683710 | Medicaid | MI | |
| OC31283 | Other | MI | BCBSM |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Audiologist
- Lansing, MI
- NPI 1700934544
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.