Individual provider Active NPI

Brandy Jan Dennis Klann

  • Audiologist
  • Farmington Hills, MI
National Provider Identifier
1457594228
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000539 Issued in MI
Practice address
30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334
Phone
(248) 865-4444
Fax
(248) 865-6161
NPI assigned
Apr 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000539 MI Primary

Addresses

Primary practice location

30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334

Mailing address

30055 Northwestern Highway
Suite 101
Farmington Hills, MI 48334
Phone (248) 865-4444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090724000511 MI Practitioner - Qualified Audiologist 5092868927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Ear Institute PLLCGroup PAC ID 5597735514, 35 clinicians

Practice addresses (Care Compare)

30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334-3260
Phone (248) 865-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1601000539MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ear Institute PLLC CurrentSince Oct 1, 2008 Accepting new patients

Locations

30055 Northwestern Hwy
Ste 101
Farmington Hills, MI 48334
Phone (248) 865-4166

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21058/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brandy.klann.1@21058.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1457594228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HIGHWAY",
            "address_2": "SUITE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-865-4444",
            "fax_number": "248-865-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY",
            "address_2": "SUITE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-865-4444",
            "fax_number": "248-865-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS KLANN",
        "first_name": "BRANDY",
        "middle_name": "JAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.