NPIMap

Organization Active NPI

Shank & Wells Enterprises, LLC

  • Hearing Instrument Specialist
  • Bloomington, IN
National Provider Identifier
1659554277
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
17001190A Issued in IN
Legal business name
SHANK & WELLS ENTERPRISES, LLC
Practice address
2088 S Liberty Dr
Suite 112
Bloomington, IN 47403-5171
Phone
(812) 288-2222
Fax
(812) 288-2387
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Mrs. Kara M James
Title
Secretary
Phone
(812) 309-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 17001190A IN Primary

Addresses

Primary practice location

2088 S Liberty Dr
Suite 112
Bloomington, IN 47403-5171

Mailing address

4536 S Cherrywood St
Terre Haute, IN 47802-4520

Other names 1

  • Beltone Doing business as

National Provider Directory

National Provider Directory

Locations

2088 S Liberty Dr
Ste 112
Bloomington, IN 47403
Phone (812) 288-2222

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1659554277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 S CHERRYWOOD ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024520",
            "fax_number": "812-299-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 S LIBERTY DR",
            "address_2": "SUITE 112",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035171",
            "telephone_number": "812-288-2222",
            "fax_number": "812-288-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANK & WELLS ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "812-309-1711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001190A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beltone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.