Active NPI
Benjamin J Pickart, HIS
- Hearing Instrument Specialist
- Appleton, WI
National Provider Identifier
1487076378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1431 - 60
- Practice address
- 654 W Ridgeview Dr Ste 2
Appleton, WI 54911-1254 - Phone
- (920) 364-9791
- NPI assigned
- Jan 10, 2014
- 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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | WI | ||
| Hearing Instrument Specialist | 237700000X | 1431 - 60 | WI | Primary |
Addresses
Primary practice location
654 W Ridgeview Dr Ste 2
Appleton, WI 54911-1254
Mailing address
8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999
Other practice location 1
481 E Division St
Suite 900
Fond Du Lac, WI 54935-3748
Phone (920) 926-1288
Other practice location 2
481 E Division St
Suite 900
Fond Du Lac, WI 54935-3748
Phone (920) 926-1288
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 |
|---|---|---|---|
| 1431 - 60 | WI | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1487076378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 SE SUNNYSIDE RD STE 300N",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155703",
"telephone_number": "281-286-2999",
"fax_number": "512-607-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 W RIDGEVIEW DR STE 2",
"city": "APPLETON",
"state": "WI",
"postal_code": "549111254",
"telephone_number": "920-364-9791"
}
],
"practiceLocations": [
{
"address_1": "481 E Division St",
"address_2": "Suite 900",
"address_purpose": "LOCATION",
"city": "Fond Du Lac",
"state": "WI",
"postal_code": "549353748",
"country_code": "US",
"telephone_number": "920-926-1288",
"fax_number": "920-926-0533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "481 E Division St",
"address_2": "Suite 900",
"address_purpose": "LOCATION",
"city": "Fond Du Lac",
"state": "WI",
"postal_code": "549353748",
"country_code": "US",
"telephone_number": "920-926-1288",
"fax_number": "920-926-0533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PICKART",
"first_name": "BENJAMIN",
"middle_name": "J",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": "1431 - 60",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.