Individual provider Active NPI

David Armand Beaulac, MA, BC-HIS

  • Hearing Instrument Specialist
  • Glens Falls, NY
National Provider Identifier
1679945778
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
14000006888 Issued in NY
Practice address
62 Elm St
Glens Falls, NY 12801-3523
Phone
(518) 798-6428
Fax
(518) 798-6430
NPI assigned
Oct 28, 2015
Last updated
Oct 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 14000006888 NY Primary

Addresses

Primary practice location

62 Elm St
Glens Falls, NY 12801-3523

Mailing address

62 Elm St
Glens Falls, NY 12801-3523
Phone (518) 798-6428

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
DB Hearing Solutions, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1679945778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 ELM ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013523",
            "telephone_number": "518-798-6428",
            "fax_number": "518-798-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 ELM ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013523",
            "telephone_number": "518-798-6428",
            "fax_number": "518-798-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULAC",
        "first_name": "DAVID",
        "middle_name": "ARMAND",
        "name_prefix": "Mr.",
        "credential": "MA, BC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000006888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.