NPIMap

Organization Active NPI

Modern Hearing Solutions LLC

  • Hearing Instrument Specialist
  • Green Bay, WI
National Provider Identifier
1497092597
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1305-60 Issued in WI
Legal business name
MODERN HEARING SOLUTIONS LLC
Doing business as
Modern Hearing
Practice address
2314 Lineville Rd
Suite 107
Green Bay, WI 54313-8860
Phone
(920) 434-6800
Fax
(920) 434-7084
NPI assigned
Jan 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Chad R Sorenson, B.S., H.I.S.NPI 1023266715
Title
Owner/Operator
Phone
(920) 434-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X 1305-60 WI Primary

Addresses

Primary practice location

2314 Lineville Rd
Suite 107
Green Bay, WI 54313-8860

Mailing address

2314 Lineville Rd
Suite 107
Green Bay, WI 54313-8860
Phone (920) 434-6800

Other identifiers 1

IdentifierTypeStateIssuer
42840600MedicaidWI

Other names 1

  • Modern Hearing Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1497092597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 LINEVILLE RD",
            "address_2": "SUITE 107",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543138860",
            "telephone_number": "920-434-6800",
            "fax_number": "920-434-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 LINEVILLE RD",
            "address_2": "SUITE 107",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543138860",
            "telephone_number": "920-434-6800",
            "fax_number": "920-434-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN HEARING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "920-434-6800",
        "authorized_official_credential": "B.S., H.I.S."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1305-60",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42840600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.