Lupe Delacruz

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

SC-HAS445 Issued in SC

Practice address

1904 Sunset Blvd Ste a
West Columbia, SC 29169-5954

Phone

(803) 794-9244

NPI assigned

Oct 5, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1497080766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 SUNSET BLVD STE A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695954",
            "telephone_number": "803-794-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 SUNSET BLVD STE A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695954",
            "telephone_number": "803-794-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "LUPE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "SC",
            "license": "SC-HAS445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Philip Deasis, MD
• Jessica Lyn Debolt
• Chantal Pilar Debreceny, APRN
• Kristy Emily Dechellis, RDN
• Barnaby T Dedmond, MD
• John Joseph Marie Delany, LPC-A, MA, NCC
• Melanie Jennings Demattei, D.O.
• Pamela R Dement, PT
• Dental Professionals of South Carolina, P.C.
• Dentist in West Columbia LLC

• Hearing Instrument Specialist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Hearing Instrument Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.