Active NPI
Eric Dyson, HIS
- Hearing Instrument Specialist
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 9562
- Practice address
- 12062 Valley View St Ste 100
Garden Grove, CA 92845-1738 - Phone
- (714) 893-6790
- Fax
- (714) 893-6904
- NPI assigned
- Nov 24, 2014
- Last updated
- Mar 8, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 9562 | CA | Primary |
| Hearing Instrument Specialist | 237700000X | F03563 | PA |
Addresses
Primary practice location
12062 Valley View St Ste 100
Garden Grove, CA 92845-1738
Mailing address
750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380
Other practice location 1
879 W 190th St Fl 4
Gardena, CA 90248-4223
Phone (310) 217-4059
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9562 | CA | MD | Clinical Social Worker |
| F03563 | PA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing, Inc. | Hearing Instrument Specialist | Current | Accepting new patients |
| Connect Hearing Inc | Hearing Instrument Specialist | Past | Accepting new patients |
| Connect Hearing, Inc. | Hearing Instrument Specialist | Past | Accepting new patients |
Locations
12062 Valley View St
Ste 100
Garden Grove, CA 92845
Phone (714) 893-6790
750 N Commons Dr
Ste 200
Aurora, IL 60504
215 Shuman Blvd
Ste 401
Naperville, IL 60563
Phone (331) 229-8279
Organizations & group practices 3
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.
-
- Hearing Aid Equipment
- Garden Grove, CA
- NPI 1316299837
Hearing Instrument Specialist
-
- Hearing Aid Equipment
- Los Angeles, CA
- NPI 1386996882
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1417354135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N COMMONS DR STE 200",
"city": "AURORA",
"state": "IL",
"postal_code": "605047940",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12062 VALLEY VIEW ST STE 100",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928451738",
"telephone_number": "714-893-6790",
"fax_number": "714-893-6904"
}
],
"practiceLocations": [
{
"address_1": "879 W 190th St Fl 4",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902484223",
"country_code": "US",
"telephone_number": "310-217-4059",
"fax_number": "310-217-4065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYSON",
"first_name": "ERIC",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-24",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "9562",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "PA",
"license": "F03563",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.