Active NPI
John Paul Dull, AAS, BS, NBC, BC-HIS
- Hearing Instrument Specialist
- Freeport, IL
National Provider Identifier
1578807897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 037-3065
- Practice address
- 1816 S West Ave
Freeport, IL 61032-6712 - Phone
- (815) 233-2535
- NPI assigned
- Nov 27, 2012
- Last updated
- Oct 21, 2015
- 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 | 037-3065 | IL | Primary |
| Hearing Instrument Specialist | 237700000X | 1372-60 | WI |
Addresses
Primary practice location
1816 S West Ave
Freeport, IL 61032-6712
Mailing address
1816 S West Ave
Freeport, IL 61032-6712
Phone (815) 233-2535
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
- Credentials
- Associate of Applied Science, Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037-3065 | IL | MD | Hearing Instrument Specialist |
| 1372-60 | WI | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing Inc | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1578807897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 S WEST AVE",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610326712",
"telephone_number": "815-233-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 S WEST AVE",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610326712",
"telephone_number": "815-233-2535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULL",
"first_name": "JOHN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "AAS, BS, NBC, BC-HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-27",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "037-3065",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": "1372-60",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.