Organization Active NPI

Ear Center Inc

  • Audiologist
  • Dearborn, MI
National Provider Identifier
1457419541
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
EAR CENTER INC
Practice address
2421 Monroe St Ste 202
Dearborn, MI 48124-3043
Phone
(313) 562-4485
Fax
(313) 562-0447
NPI assigned
Dec 4, 2006
Last updated
Nov 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Miss Lissa Fradet
Title
Director of Operations
Phone
(586) 754-2230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

2421 Monroe St Ste 202
Dearborn, MI 48124-3043

Mailing address

2421 Monroe Street
Suite 202
Dearborn, MI 48124
Phone (313) 562-4485

Other names 1

  • Kelly A Zilli Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041208000894 MI Part B Supplier - Clinic/Group Practice 8426014630 Receives reassigned benefits from 4 practitioners
Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory
Tax ID family
Ear Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19557 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 882-4530

21142 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 882-4530

30555 Hoover Rd
Warren, MI 48093
Phone (586) 754-2230

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1457419541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 MONROE STREET",
            "address_2": "SUITE 202",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-562-4485",
            "fax_number": "313-562-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 MONROE ST STE 202",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243043",
            "telephone_number": "313-562-4485",
            "fax_number": "313-562-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "FRADET",
        "authorized_official_first_name": "LISSA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "586-754-2230",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly A Zilli",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kelly A Zilli",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.