Active NPI
Daryl B Thomas
- Hearing Instrument Specialist
- Harrisburg, IL
National Provider Identifier
1497764161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2811
- Practice address
- 20 Veterans Dr
Harrisburg, IL 62946-3320 - Phone
- (618) 252-2452
- Fax
- (618) 294-8413
- NPI assigned
- Aug 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2811 | IL | Primary |
Addresses
Primary practice location
20 Veterans Dr
Harrisburg, IL 62946-3320
Mailing address
2510 E Sunset Rd
Unit 5-260
Las Vegas, NV 89120-3511
Phone (702) 798-0113
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 |
|---|---|---|---|
| 2811 | IL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1497764161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 E SUNSET RD",
"address_2": "UNIT 5-260",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203511",
"telephone_number": "702-798-0113",
"fax_number": "866-291-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 VETERANS DR",
"city": "HARRISBURG",
"state": "IL",
"postal_code": "629463320",
"telephone_number": "618-252-2452",
"fax_number": "618-294-8413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DARYL",
"middle_name": "B",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "2811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.