Active NPI
Robert Cornish
- Hearing Instrument Specialist
- Lumberton, NC
National Provider Identifier
1417354515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1401
- Practice address
- 4809 Fayetteville Rd
Lumberton, NC 28358-2111 - Phone
- (910) 751-2503
- NPI assigned
- Dec 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1401 | NC | Primary |
Addresses
Primary practice location
4809 Fayetteville Rd
Lumberton, NC 28358-2111
Mailing address
4809 Fayetteville Rd
Lumberton, NC 28358-2111
Phone (910) 751-2503
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 |
|---|---|---|---|
| 1401 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Hearing Care | Past | Accepting new patients |
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.
-
- Hearing and Speech Clinic/Center
- Lumberton, NC
- NPI 1922450717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467331200000",
"number": "1417354515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4809 FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582111",
"telephone_number": "910-751-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582111",
"telephone_number": "910-751-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNISH",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-04",
"last_updated": "2016-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NC",
"license": "1401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.