Organization Active NPI

Mid West Hearing LLC

Doing business as Miracle Ear

  • Hearing Aid Equipment
  • Madison, WI
National Provider Identifier
1457522393
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
MID WEST HEARING LLC
Doing business as
Miracle Ear
Practice address
6692 Odana Rd
Madison, WI 53719-1012
Phone
(608) 829-3777
NPI assigned
Mar 19, 2008
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Scott LauNPI 1407011257
Title
Hearing Instrument Specialist
Phone
(518) 736-2284

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)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X Primary

Addresses

Primary practice location

6692 Odana Rd
Madison, WI 53719-1012

Mailing address

131 Enterprise Rd
Johnstown, NY 12095-3326
Phone (518) 620-4238

Other practice location 1

225 Kings Lynn Rd
Stoughton, WI 53589-1990
Phone (608) 355-0555

Other practice location 2

115 E Waldo Blvd Ste 1B
Manitowoc, WI 54220-2953
Phone (920) 686-0200

Other practice location 3

2700 Eastern Ave
Plymouth, WI 53073-8612
Phone (920) 457-6050

Other practice location 4

601 N Superior Ave Ste 4
Tomah, WI 54660-1589
Phone (608) 781-8576

Other practice location 5

425 W Walters St
Port Washington, WI 53074-1453
Phone (262) 268-1800

Other practice location 6

506 E Longview Dr Ste A
Appleton, WI 54911-2105
Phone (920) 731-6477

Other practice location 7

623 Elm St
West Bend, WI 53095-3228
Phone (262) 334-4232

Other practice location 8

2108 Kohler Memorial Dr Ste 30
Sheboygan, WI 53081-3102
Phone (920) 457-6050

Other practice location 9

3215 Tower Ave Ste 103
Superior, WI 54880-5328
Phone (715) 392-2172

Other practice location 10

309 3rd Ave W Ste F
Durand, WI 54736-1165
Phone (715) 726-0931

Other practice location 11

3509 Gateway Dr
Eau Claire, WI 54701-8795
Phone (715) 832-4327

Other practice location 12

315 Sanborn Ave Ste D
Ashland, WI 54806-1047
Phone (715) 634-8736

Other practice location 13

800 College Ave W
Ladysmith, WI 54848-2114
Phone (715) 236-3731

Other practice location 14

1840 E Main St
Onalaska, WI 54650-7709
Phone (608) 781-8576

Other practice location 15

753 S Knowles Ave Ste 360
New Richmond, WI 54017-1751
Phone (715) 381-1330

Other practice location 16

2425 New Pinery Rd Ste 102
Portage, WI 53901-1300
Phone (680) 745-9125

Other practice location 17

2670 E Main St Ste C
Reedsburg, WI 53959-8710
Phone (608) 243-8084

Other practice location 18

134 W Knapp St
Rice Lake, WI 54868-1605
Phone (715) 236-3731

Other practice location 19

530 S Water St Ste 3
Platteville, WI 53818-3626
Phone (608) 716-3057

Other practice location 20

424 2nd Street
Chetek, WI 54728
Phone (715) 236-3731

Other practice location 21

622 State Road 136
Baraboo, WI 53913-9232
Phone (608) 355-0555

Other practice location 22

809 Park Ave Unit B
Beaver Dam, WI 53916-2205
Phone (920) 219-4394

Other practice location 23

311 County Road A Ste 4
Black River Falls, WI 54615-8205
Phone (715) 235-3191

Other practice location 24

303 W Upham St Ste 100
Marshfield, WI 54449-1483
Phone (715) 384-0944

Other practice location 25

1724 S Church St Ste I
Watertown, WI 53094-7434
Phone (920) 399-8089

Other practice location 26

1307 Madison Ave
Fort Atkinson, WI 53538-1070
Phone (920) 399-8089

Other practice location 27

304 S Main St Ste C
Viroqua, WI 54665-3001
Phone (608) 781-8576

Other practice location 28

4664 E Washington Ave
Madison, WI 53704-3236
Phone (608) 243-8084

Other practice location 29

698 4th Ave S
Park Falls, WI 54552-1107
Phone (715) 762-4303

Other practice location 30

519 W Broadway Ave
Medford, WI 54451-1610
Phone (715) 748-2002

Other practice location 31

855 Phillips Blvd
Sauk City, WI 53583-1313
Phone (608) 355-0555

Other practice location 32

131 Carmichael Rd Ste 204
Hudson, WI 54016-8271
Phone (715) 381-1330

Other practice location 33

2402 E Main St Ste 3
Merrill, WI 54452-2702
Phone (715) 722-7566

Other practice location 34

218 Island St
Chippewa Falls, WI 54729-2351
Phone (715) 726-0931

Other practice location 35

118 N 4th Ave
Sturgeon Bay, WI 54235-2404
Phone (920) 494-1060

Other practice location 36

24128 Hwy 35
Siren, WI 54872
Phone (715) 392-2172

Other practice location 37

135 South Washington st
Suite 2
Saint Croix Falls, WI 54024
Phone (715) 381-1330

Other practice location 38

1134 N Johns St
Dodgeville, WI 53533-1280
Phone (608) 829-3571

Other practice location 39

2030 Sutler Ave
Beloit, WI 53511-6918
Phone (608) 362-8889

Other practice location 40

261 E Court St Ste H
Richland Center, WI 53581-2342
Phone (715) 236-3731

Other practice location 41

392 Red Cedar St Ste 360
Menomonie, WI 54751-2338
Phone (715) 235-3191

Other practice location 42

1514 11th St
Monroe, WI 53566-1747
Phone (608) 632-8889

Other practice location 43

105 Lake Ave W
Ladysmith, WI 54848-2387
Phone (608) 757-0123

Other practice location 44

15858 2nd Street
Hayward, WI 54843
Phone (715) 364-8736

Other practice location 45

610 South St Unit C
Green Lake, WI 54941-9496
Phone (920) 896-2764

Other names 1

  • MIRACLE EAR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mid West Hearing LLC2 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 (25 of 34)

315 Sanborn Ave
Ste D
Ashland, WI 54806
Phone (715) 634-8736

622 State Road 136
Baraboo, WI 53913
Phone (608) 355-0555

809 Park Ave
Unit B
Beaver Dam, WI 53916
Phone (920) 219-4394

2030 Sutler Ave
Beloit, WI 53511
Phone (608) 362-8889

311 County Road A
Ste 4
Black River Falls, WI 54615
Phone (715) 235-3191

424 2nd St
Chetek, WI 54728
Phone (715) 236-3731

218 Island St
Chippewa Falls, WI 54729
Phone (715) 726-0931

1134 N Johns St
Dodgeville, WI 53533
Phone (608) 218-1194

309 3rd Ave W
Ste F
Durand, WI 54736
Phone (715) 726-0931

3509 Gateway Dr
Eau Claire, WI 54701
Phone (715) 831-8966

1307 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 399-8089

131 Carmichael Rd
Ste 204
Hudson, WI 54016
Phone (715) 381-1330

800 College Ave W
Ladysmith, WI 54848
Phone (715) 236-3731

4664 E Washington Ave
Madison, WI 53704
Phone (608) 243-8084

6692 Odana Rd
Madison, WI 53719
Phone (608) 355-0555

115 E Waldo Blvd
Ste 1B
Manitowoc, WI 54220
Phone (920) 686-0200

303 W Upham St
Ste 100
Marshfield, WI 54449
Phone (715) 384-0944

519 W Broadway Ave
Medford, WI 54451
Phone (715) 748-2002

392 Red Cedar St
Ste 360
Menomonie, WI 54751
Phone (715) 235-3191

2402 E Main St
Ste 3
Merrill, WI 54452
Phone (715) 343-1545

1514 11th St
Monroe, WI 53566
Phone (608) 632-8889

753 S Knowles Ave
Ste 360
New Richmond, WI 54017
Phone (715) 381-1330

698 4th Ave S
Park Falls, WI 54552
Phone (715) 762-2300

2700 Eastern Ave
Plymouth, WI 53073
Phone (920) 457-6050

2670 E Main St
Ste C
Reedsburg, WI 53959
Phone (608) 243-8084

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1457522393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ENTERPRISE RD",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953326",
            "telephone_number": "518-620-4238",
            "fax_number": "518-620-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6692 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191012",
            "telephone_number": "608-829-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Kings Lynn Rd",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "WI",
            "postal_code": "535891990",
            "country_code": "US",
            "telephone_number": "608-355-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 E Waldo Blvd Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Manitowoc",
            "state": "WI",
            "postal_code": "542202953",
            "country_code": "US",
            "telephone_number": "920-686-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "WI",
            "postal_code": "530738612",
            "country_code": "US",
            "telephone_number": "920-457-6050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Superior Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Tomah",
            "state": "WI",
            "postal_code": "546601589",
            "country_code": "US",
            "telephone_number": "608-781-8576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 W Walters St",
            "address_purpose": "LOCATION",
            "city": "Port Washington",
            "state": "WI",
            "postal_code": "530741453",
            "country_code": "US",
            "telephone_number": "262-268-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 E Longview Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549112105",
            "country_code": "US",
            "telephone_number": "920-731-6477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "623 Elm St",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530953228",
            "country_code": "US",
            "telephone_number": "262-334-4232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2108 Kohler Memorial Dr Ste 30",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530813102",
            "country_code": "US",
            "telephone_number": "920-457-6050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3215 Tower Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "WI",
            "postal_code": "548805328",
            "country_code": "US",
            "telephone_number": "715-392-2172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 3rd Ave W Ste F",
            "address_purpose": "LOCATION",
            "city": "Durand",
            "state": "WI",
            "postal_code": "547361165",
            "country_code": "US",
            "telephone_number": "715-726-0931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3509 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547018795",
            "country_code": "US",
            "telephone_number": "715-832-4327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Sanborn Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "WI",
            "postal_code": "548061047",
            "country_code": "US",
            "telephone_number": "715-634-8736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 College Ave W",
            "address_purpose": "LOCATION",
            "city": "Ladysmith",
            "state": "WI",
            "postal_code": "548482114",
            "country_code": "US",
            "telephone_number": "715-236-3731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 E Main St",
            "address_purpose": "LOCATION",
            "city": "Onalaska",
            "state": "WI",
            "postal_code": "546507709",
            "country_code": "US",
            "telephone_number": "608-781-8576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "753 S Knowles Ave Ste 360",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540171751",
            "country_code": "US",
            "telephone_number": "715-381-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2425 New Pinery Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "WI",
            "postal_code": "539011300",
            "country_code": "US",
            "telephone_number": "680-745-9125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2670 E Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Reedsburg",
            "state": "WI",
            "postal_code": "539598710",
            "country_code": "US",
            "telephone_number": "608-243-8084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 W Knapp St",
            "address_purpose": "LOCATION",
            "city": "Rice Lake",
            "state": "WI",
            "postal_code": "548681605",
            "country_code": "US",
            "telephone_number": "715-236-3731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 S Water St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Platteville",
            "state": "WI",
            "postal_code": "538183626",
            "country_code": "US",
            "telephone_number": "608-716-3057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 2nd Street",
            "address_purpose": "LOCATION",
            "city": "Chetek",
            "state": "WI",
            "postal_code": "54728",
            "country_code": "US",
            "telephone_number": "715-236-3731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 State Road 136",
            "address_purpose": "LOCATION",
            "city": "Baraboo",
            "state": "WI",
            "postal_code": "539139232",
            "country_code": "US",
            "telephone_number": "608-355-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 Park Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "WI",
            "postal_code": "539162205",
            "country_code": "US",
            "telephone_number": "920-219-4394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 County Road A Ste 4",
            "address_purpose": "LOCATION",
            "city": "Black River Falls",
            "state": "WI",
            "postal_code": "546158205",
            "country_code": "US",
            "telephone_number": "715-235-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 W Upham St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544491483",
            "country_code": "US",
            "telephone_number": "715-384-0944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1724 S Church St Ste I",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530947434",
            "country_code": "US",
            "telephone_number": "920-399-8089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1307 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Atkinson",
            "state": "WI",
            "postal_code": "535381070",
            "country_code": "US",
            "telephone_number": "920-399-8089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 S Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Viroqua",
            "state": "WI",
            "postal_code": "546653001",
            "country_code": "US",
            "telephone_number": "608-781-8576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4664 E Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537043236",
            "country_code": "US",
            "telephone_number": "608-243-8084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "698 4th Ave S",
            "address_purpose": "LOCATION",
            "city": "Park Falls",
            "state": "WI",
            "postal_code": "545521107",
            "country_code": "US",
            "telephone_number": "715-762-4303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "519 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "WI",
            "postal_code": "544511610",
            "country_code": "US",
            "telephone_number": "715-748-2002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 Phillips Blvd",
            "address_purpose": "LOCATION",
            "city": "Sauk City",
            "state": "WI",
            "postal_code": "535831313",
            "country_code": "US",
            "telephone_number": "608-355-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Carmichael Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540168271",
            "country_code": "US",
            "telephone_number": "715-381-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2402 E Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Merrill",
            "state": "WI",
            "postal_code": "544522702",
            "country_code": "US",
            "telephone_number": "715-722-7566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Island St",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547292351",
            "country_code": "US",
            "telephone_number": "715-726-0931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 N 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Sturgeon Bay",
            "state": "WI",
            "postal_code": "542352404",
            "country_code": "US",
            "telephone_number": "920-494-1060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24128 Hwy 35",
            "address_purpose": "LOCATION",
            "city": "Siren",
            "state": "WI",
            "postal_code": "54872",
            "country_code": "US",
            "telephone_number": "715-392-2172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 South Washington st",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Saint Croix Falls",
            "state": "WI",
            "postal_code": "54024",
            "country_code": "US",
            "telephone_number": "715-381-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1134 N Johns St",
            "address_purpose": "LOCATION",
            "city": "Dodgeville",
            "state": "WI",
            "postal_code": "535331280",
            "country_code": "US",
            "telephone_number": "608-829-3571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Sutler Ave",
            "address_purpose": "LOCATION",
            "city": "Beloit",
            "state": "WI",
            "postal_code": "535116918",
            "country_code": "US",
            "telephone_number": "608-362-8889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "261 E Court St Ste H",
            "address_purpose": "LOCATION",
            "city": "Richland Center",
            "state": "WI",
            "postal_code": "535812342",
            "country_code": "US",
            "telephone_number": "715-236-3731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "392 Red Cedar St Ste 360",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547512338",
            "country_code": "US",
            "telephone_number": "715-235-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 11th St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WI",
            "postal_code": "535661747",
            "country_code": "US",
            "telephone_number": "608-632-8889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Lake Ave W",
            "address_purpose": "LOCATION",
            "city": "Ladysmith",
            "state": "WI",
            "postal_code": "548482387",
            "country_code": "US",
            "telephone_number": "608-757-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15858 2nd Street",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "WI",
            "postal_code": "54843",
            "country_code": "US",
            "telephone_number": "715-364-8736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 South St Unit C",
            "address_purpose": "LOCATION",
            "city": "Green Lake",
            "state": "WI",
            "postal_code": "549419496",
            "country_code": "US",
            "telephone_number": "920-896-2764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID WEST HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "HEARING INSTRUMENT SPECIALIST",
        "authorized_official_telephone_number": "518-736-2284"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRACLE EAR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIRACLE EAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.