Active NPI
Mark Cheple
- Audiologist-Hearing Aid Fitter
- Saint Paul, MN
National Provider Identifier
1497796072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 5175
- Practice address
- 20 Thompson Ave E
# 204
Saint Paul, MN 55118-3187 - Phone
- (651) 455-9724
- Fax
- (651) 455-9726
- NPI assigned
- Jun 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 5175 | MN | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 2249 | MN |
Addresses
Primary practice location
20 Thompson Ave E
# 204
Saint Paul, MN 55118-3187
Mailing address
5000 Cheshire LN N
Plymouth, MN 55446-3706
Phone (888) 333-9152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336365100 | Medicaid | MN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2249 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1497796072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CHESHIRE LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463706",
"telephone_number": "888-333-9152",
"fax_number": "763-268-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 THOMPSON AVE E",
"address_2": "# 204",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551183187",
"telephone_number": "651-455-9724",
"fax_number": "651-455-9726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEPLE",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MN",
"license": "5175",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MN",
"license": "2249",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "336365100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.