Active NPI
Daniel C Bancroft, HAS
- Hearing Instrument Specialist
- Beaverton, OR
National Provider Identifier
1508109406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HAS-P-895056
- Practice address
- 4130 SW 117TH Ave Ste D
Beaverton, OR 97005-4632 - Phone
- (503) 591-7027
- Fax
- (503) 642-9435
- NPI assigned
- Mar 29, 2013
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HAS-P-895056 | OR | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | OR |
Addresses
Primary practice location
4130 SW 117TH Ave Ste D
Beaverton, OR 97005-4632
Mailing address
8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999
Other practice location 1
2025 9th Ave Ste 100
Longview, WA 98632-4077
Phone (360) 425-8242
Other practice location 2
3212 50th Street Ct NW Ste 100
Gig Harbor, WA 98335-8527
Phone (253) 858-3277
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 |
|---|---|---|---|
| HAS-P-895056 | OR | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1508109406",
"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": "4130 SW 117TH AVE STE D",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970054632",
"telephone_number": "503-591-7027",
"fax_number": "503-642-9435"
}
],
"practiceLocations": [
{
"address_1": "2025 9th Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986324077",
"country_code": "US",
"telephone_number": "360-425-8242",
"fax_number": "360-425-8186",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3212 50th Street Ct NW Ste 100",
"address_purpose": "LOCATION",
"city": "Gig Harbor",
"state": "WA",
"postal_code": "983358527",
"country_code": "US",
"telephone_number": "253-858-3277",
"fax_number": "253-858-6299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANCROFT",
"first_name": "DANIEL",
"middle_name": "C",
"credential": "HAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OR",
"license": "HAS-P-895056",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OR",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
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.