Individual provider Active NPI

Tad Joniec, HIS

  • Hearing Instrument Specialist
  • Auburn, MA
National Provider Identifier
1477723708
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Practice address
62 Auburn St
Auburn, MA 01501-2458
Phone
(508) 721-9051
Fax
(508) 721-9053
NPI assigned
Mar 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X Primary

Addresses

Primary practice location

62 Auburn St
Auburn, MA 01501-2458

Mailing address

173 Lake Shore Dr
Wayland, MA 01778-4017
Phone (508) 721-9051

Other identifiers 1

IdentifierTypeStateIssuer
1531221MedicaidMA

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

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1477723708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 LAKE SHORE DR",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784017",
            "telephone_number": "508-721-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 AUBURN ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012458",
            "telephone_number": "508-721-9051",
            "fax_number": "508-721-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONIEC",
        "first_name": "TAD",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531221",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.