Active NPI
John J Roberts, BC-HAS
- Hearing Instrument Specialist
- Palm Bay, FL
National Provider Identifier
1750903902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Practice address
- 490 Centre Lake Dr NE
Suite 150
Palm Bay, FL 32907 - Phone
- (321) 369-9900
- Fax
- (321) 726-8673
- NPI assigned
- May 11, 2020
- 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
490 Centre Lake Dr NE
Suite 150
Palm Bay, FL 32907
Mailing address
490 Centre Lake Dr NE
Suite 150
Palm Bay, FL 32907
Phone (321) 369-9900
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": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1750903902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 CENTRE LAKE DR NE",
"address_2": "SUITE 150",
"city": "PALM BAY",
"state": "FL",
"postal_code": "32907",
"telephone_number": "321-369-9900",
"fax_number": "321-726-8673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 CENTRE LAKE DR NE",
"address_2": "SUITE 150",
"city": "PALM BAY",
"state": "FL",
"postal_code": "32907",
"telephone_number": "321-369-9900",
"fax_number": "321-726-8673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "BC-HAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.