NPIMap

Organization Active NPI

Realear, Inc.

  • Hearing Aid Equipment
  • Port Orange, FL
National Provider Identifier
1659547214
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
00016100 Issued in FL
Legal business name
REALEAR, INC.
Practice address
790 Dunlawton Ave
Suite B
Port Orange, FL 32127-9279
Phone
(386) 761-5780
NPI assigned
May 5, 2008
Last updated
Mar 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Joseph Crogan
Title
Owner
Phone
(386) 761-5780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 00016100 FL Primary

Addresses

Primary practice location

790 Dunlawton Ave
Suite B
Port Orange, FL 32127-9279

Mailing address

790 Dunlawton Avenue
Suite B
Port Orange, FL 32127
Phone (386) 761-5780

Other identifiers 1

IdentifierTypeStateIssuer
J8157OtherFLBLUE CROSS AND BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Realear Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

790 Dunlawton Ave
Ste B
Port Orange, FL 32127
Phone (386) 761-5780

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1659547214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 DUNLAWTON AVENUE",
            "address_2": "SUITE B",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-761-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 DUNLAWTON AVE",
            "address_2": "SUITE B",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279279",
            "telephone_number": "386-761-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALEAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "CROGAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-761-5780"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "FL",
            "license": "00016100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "J8157",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.