Active NPI
John Paul Santucci, H.I.S.
- Hearing Instrument Specialist
- Greenfield, WI
National Provider Identifier
1467089672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1593
- Practice address
- 7945 W Layton Ave
Greenfield, WI 53220-3710 - Phone
- (414) 421-5320
- NPI assigned
- Mar 26, 2020
- Last updated
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1593-60 | WI | |
| Hearing Instrument Specialist | 237700000X | 1593 | WI | Primary |
Addresses
Primary practice location
7945 W Layton Ave
Greenfield, WI 53220-3710
Mailing address
7945 W Layton Ave
Greenfield, WI 53220-3710
Phone (414) 421-4556
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Miracle-ear.com | Direct |
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 |
|---|---|---|---|
| 1593 | WI | MD | Clinical Social Worker |
| 1593-60 | WI | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Hearing LLC | 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, 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": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1467089672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7945 W LAYTON AVE",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532203710",
"telephone_number": "414-421-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7945 W LAYTON AVE",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532203710",
"telephone_number": "414-421-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTUCCI",
"first_name": "JOHN",
"middle_name": "PAUL",
"credential": "H.I.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": "1593-60",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": "1593",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Miracle-ear.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7945 W Layton Ave",
"city": "Greenfield",
"state": "WI",
"country_code": "US",
"postal_code": "532203710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.