Organization Active NPI

Dearborn Hearing AIDS Inc

  • Audiologist
  • Dearborn, MI
National Provider Identifier
1609890375
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3501003225 Issued in MI
Legal business name
DEARBORN HEARING AIDS INC
Practice address
15212 Michigan Ave
Dearborn Hearing AIDS Inc
Dearborn, MI 48126-3497
Phone
(313) 582-8852
Fax
(313) 582-6417
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Allen Macdonald, AU. D CCC-A
Title
Director of Audiology
Phone
(313) 582-8852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 3501003225 MI Primary

Addresses

Primary practice location

15212 Michigan Ave
Dearborn Hearing AIDS Inc
Dearborn, MI 48126-3497

Mailing address

15212 Michigan Ave
Dearborn Hearing AIDS Inc
Dearborn, MI 48126-3497
Phone (313) 582-8852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090128000138 MI Part B Supplier - Clinic/Group Practice 6103980685 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn, MI; Livonia, MI

National Provider Directory

National Provider Directory

Locations

37650 Professional Center Dr
Ste 105A
Livonia, MI 48154
Phone (734) 943-3838

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609890375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15212 MICHIGAN AVE",
            "address_2": "DEARBORN HEARING AIDS INC",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263497",
            "telephone_number": "313-582-8852",
            "fax_number": "313-582-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15212 MICHIGAN AVE",
            "address_2": "DEARBORN HEARING AIDS INC",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263497",
            "telephone_number": "313-582-8852",
            "fax_number": "313-582-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN HEARING AIDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "313-582-8852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU. D CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MI",
            "license": "3501003225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.