NPIMap

Organization Active NPI

Dynamite Hearing Consultants, LLC

  • Hearing Instrument Specialist
  • Grand Rapids, MI
National Provider Identifier
1609111202
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3501004919 Issued in MI
Legal business name
DYNAMITE HEARING CONSULTANTS, LLC
Practice address
1000 3 Mile Rd NW
Suite D
Grand Rapids, MI 49544-1650
Phone
(616) 538-5300
NPI assigned
Dec 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
Mr. Benjamin Norris, H.I.S.NPI 1821249558
Title
Owner; Hearing Instrument Specialis
Phone
(616) 538-5300

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X 3501004919 MI Primary
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X 3501005725 MI

Addresses

Primary practice location

1000 3 Mile Rd NW
Suite D
Grand Rapids, MI 49544-1650

Mailing address

1000 3 Mile Rd NW
Suite D
Grand Rapids, MI 49544-1650
Phone (616) 538-5300

Other names 1

  • Miracle-Ear Doing business as

National Provider Directory

National Provider Directory

Locations

1000 3 Mile Rd NW
Ofc D
Grand Rapids, MI 49544
Phone (616) 538-5300

Practitioners & affiliated clinicians

Practitioners 5

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": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1609111202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 3 MILE RD NW",
            "address_2": "SUITE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441650",
            "telephone_number": "616-538-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 3 MILE RD NW",
            "address_2": "SUITE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441650",
            "telephone_number": "616-538-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMITE HEARING CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER; HEARING INSTRUMENT SPECIALIS",
        "authorized_official_telephone_number": "616-538-5300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "H.I.S."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501004919",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501005725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle-Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.