Active NPI
Selective Hearing Centers, LC
- Hearing Aid Equipment
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- License
- 1310-060
- Legal business name
- SELECTIVE HEARING CENTERS, LC
- Practice address
- 6804 Green Bay Rd Ste 113
Kenosha, WI 53142-1451 - Phone
- (262) 577-5577
- Fax
- (262) 577-5511
- NPI assigned
- Apr 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Jay Johnston, BC-HIS
- Title
- President
- Phone
- (262) 577-5577
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | 1310-060 | WI | Primary |
Addresses
Primary practice location
6804 Green Bay Rd Ste 113
Kenosha, WI 53142-1451
Mailing address
6804 Green Bay Rd Ste 113
Kenosha, WI 53142-1451
Phone (262) 577-5577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1310-060 | Other | WI | STATE LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Selective Hearing Centers LC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hearing Aid Equipment
- Kenosha, WI
- NPI 1558646299
Locations
7327 60th Ave
Kenosha, WI 53142
Phone (262) 694-8400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hearing Instrument Specialist
- Kenosha, WI
- NPI 1700161429
-
- Hearing Instrument Specialist
- Kenosha, WI
- NPI 1922771088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581465600000",
"number": "1518200989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6804 GREEN BAY RD STE 113",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531421451",
"telephone_number": "262-577-5577",
"fax_number": "262-577-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6804 GREEN BAY RD STE 113",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531421451",
"telephone_number": "262-577-5577",
"fax_number": "262-577-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECTIVE HEARING CENTERS, LC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-03",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A",
"authorized_official_last_name": "JOHNSTON",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "262-577-5577",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BC-HIS"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "WI",
"license": "1310-060",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1310-060",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.