Individual provider Active NPI

Terry Charles Burris

  • Hearing Instrument Specialist
  • Dublin, OH
National Provider Identifier
1417433327
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
IL.03344 Issued in OH
Practice address
3848 Hard Rd
Dublin, OH 43016-8025
Phone
(614) 389-6104
NPI assigned
Jul 13, 2018
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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 IL.03344 OH Primary

Addresses

Primary practice location

3848 Hard Rd
Dublin, OH 43016-8025

Mailing address

8456 Brock Rd
Plain City, OH 43064-9431
Phone (614) 381-5492

Other practice location 1

10501 Blacklick Eastern Rd
Pickerington, OH 43147-7871
Phone (614) 694-4423

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
IL.03344OHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Black's Hearing Aid Services, Inc. Hearing Instrument Specialist Past Accepting new patients
Accuquest Hearing Center, LLC Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1417433327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8456 BROCK RD",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430649431",
            "telephone_number": "614-381-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 HARD RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168025",
            "telephone_number": "614-389-6104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10501 Blacklick Eastern Rd",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431477871",
            "country_code": "US",
            "telephone_number": "614-694-4423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "TERRY",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "IL.03344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.