NPIMap

Organization Active NPI

Selective Hearing Centers, LLC

  • Hearing Aid Equipment
  • Kenosha, WI
National Provider Identifier
1558646299
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
1310-060 Issued in WI
Legal business name
SELECTIVE HEARING CENTERS, LLC
Practice address
6804 Green Bay Rd Ste 113
Kenosha, WI 53142-1451
Phone
(262) 577-5577
Fax
(262) 577-5511
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cheryl A. Johnston
Title
Patient Care Coordinator
Phone
(262) 577-5577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

National Provider Directory

National Provider Directory
Tax ID family
Selective Hearing Centers LC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6804 Green Bay Rd
Ste 113
Kenosha, WI 53142
Phone (262) 577-5577

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1558646299",
    "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, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PATIENT CARE COORDINATOR",
        "authorized_official_telephone_number": "262-577-5577"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WI",
            "license": "1310-060",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.

Verify at the official NPI Registry.