Active NPI
Dan Morrissey
- Hearing Instrument Specialist
- Waterford, WI
National Provider Identifier
1508149485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 136260
- Practice address
- 29134 Evergreen Dr
#3
Waterford, WI 53185-5111 - Phone
- (262) 514-4322
- NPI assigned
- Sep 27, 2011
- 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 | 136260 | WI | Primary |
Addresses
Primary practice location
29134 Evergreen Dr
#3
Waterford, WI 53185-5111
Mailing address
140 Corporate Dr
Ste 1
Beaver Dam, WI 53916-1281
Phone (920) 887-9658
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 |
|---|---|---|---|
| 136260 | WI | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1508149485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 CORPORATE DR",
"address_2": "STE 1",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539161281",
"telephone_number": "920-887-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29134 EVERGREEN DR",
"address_2": "#3",
"city": "WATERFORD",
"state": "WI",
"postal_code": "531855111",
"telephone_number": "262-514-4322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISSEY",
"first_name": "DAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-27",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": "136260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.