Active NPI
Roger L Mann
- Hearing Instrument Specialist
- Maple Grove, MN
National Provider Identifier
1720027402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2039
- Practice address
- 7830 Main St N
Ste 225
Maple Grove, MN 55369-7208 - Phone
- (763) 400-7275
- Fax
- (763) 400-7273
- NPI assigned
- Jun 6, 2006
- 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 | 2039 | MN | Primary |
Addresses
Primary practice location
7830 Main St N
Ste 225
Maple Grove, MN 55369-7208
Mailing address
215 Shuman Blvd
Ste 401
Naperville, IL 60563-8458
Phone (630) 303-5380
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2039 | MN | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1720027402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SHUMAN BLVD",
"address_2": "STE 401",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638458",
"telephone_number": "630-303-5380",
"fax_number": "978-313-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7830 MAIN ST N",
"address_2": "STE 225",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697208",
"telephone_number": "763-400-7275",
"fax_number": "763-400-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "ROGER",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MN",
"license": "2039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.