Organization Active NPI

Crissco, Inc

  • Hearing Aid Equipment
  • Kennewick, WA
National Provider Identifier
1619946340
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
3666 Issued in WA
Legal business name
CRISSCO, INC
Practice address
415 N Morain St
Ste C
Kennewick, WA 99336-2667
Phone
(509) 735-5679
Fax
(509) 735-5681
NPI assigned
Mar 15, 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
Mr. Daniel Criss
Title
Owner
Phone
(509) 735-5679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 3666 WA Primary

Addresses

Primary practice location

415 N Morain St
Ste C
Kennewick, WA 99336-2667

Mailing address

415 N Morain St
Ste C
Kennewick, WA 99336-2667
Phone (509) 735-5679

Other identifiers 1

IdentifierTypeStateIssuer
9058165MedicaidWA

Other names 1

  • Beltone Hearing Center Doing business as

National Provider Directory

National Provider Directory

Locations

415 N Morain St
Ste C
Kennewick, WA 99336
Phone (509) 735-5679

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619946340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MORAIN ST",
            "address_2": "STE C",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362667",
            "telephone_number": "509-735-5679",
            "fax_number": "509-735-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MORAIN ST",
            "address_2": "STE C",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362667",
            "telephone_number": "509-735-5679",
            "fax_number": "509-735-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISSCO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRISS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-735-5679",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WA",
            "license": "3666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9058165",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beltone Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.