NPIMap

Organization Active NPI

Lifestyle Hearing Center LLC

  • Hearing Instrument Specialist
  • Eagan, MN
National Provider Identifier
1639488927
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2653 Issued in MN
Legal business name
LIFESTYLE HEARING CENTER LLC
Practice address
3410 Federal Dr
Suite101
Eagan, MN 55122-1320
Phone
(651) 788-9008
Fax
(651) 340-5728
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Mr. David Rael, H.I.D
Title
Owner
Phone
(651) 788-9008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 2653 MN Primary

Addresses

Primary practice location

3410 Federal Dr
Suite101
Eagan, MN 55122-1320

Mailing address

3410 Federal Dr
Suite101
Eagan, MN 55122-1320
Phone (651) 788-9008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1639488927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 FEDERAL DR",
            "address_2": "SUITE101",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221320",
            "telephone_number": "651-788-9008",
            "fax_number": "651-340-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FEDERAL DR",
            "address_2": "SUITE101",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221320",
            "telephone_number": "651-788-9008",
            "fax_number": "651-340-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE HEARING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "RAEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-788-9008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "H.I.D"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.