Active NPI
Devin Sack, HIS
- Hearing Instrument Specialist
- Oakland, CA
National Provider Identifier
1467124305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1010242
- Practice address
- 2201 Broadway Ste 812
Oakland, CA 94612-3024 - Phone
- (510) 625-8039
- Fax
- (510) 625-8067
- NPI assigned
- Sep 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1010242 | CA | Primary |
Addresses
Primary practice location
2201 Broadway Ste 812
Oakland, CA 94612-3024
Mailing address
750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380
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 |
|---|---|---|---|
| 1010242 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing, Inc. | Single Specialty | Current | Accepting new patients |
| Connect Hearing Inc | Single Specialty | Current | Accepting new patients |
Locations
2201 Broadway
Ste 812
Oakland, CA 94612
Phone (510) 625-8039
750 N Commons Dr
Ste 200
Aurora, IL 60504
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1467124305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N COMMONS DR STE 200",
"city": "AURORA",
"state": "IL",
"postal_code": "605047940",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 BROADWAY STE 812",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123024",
"telephone_number": "510-625-8039",
"fax_number": "510-625-8067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACK",
"first_name": "DEVIN",
"credential": "HIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-29",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "1010242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.