Active NPI
Robert Barry
- Hearing Instrument Specialist
- Grand Rapids, MI
National Provider Identifier
1639717614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Practice address
- 2090 Celebration Dr NE
Grand Rapids, MI 49525-9200 - Phone
- (616) 287-6005
- NPI assigned
- Dec 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | Primary |
Addresses
Primary practice location
2090 Celebration Dr NE
Grand Rapids, MI 49525-9200
Mailing address
14301 Faa Blvd Ste 105
Fort Worth, TX 76155-2520
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1639717614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14301 FAA BLVD STE 105",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761552520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 CELEBRATION DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259200",
"telephone_number": "616-287-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.