Individual provider Active NPI

Daniel J Faneuf, HIS

  • Hearing Instrument Specialist
  • Portsmouth, NH
National Provider Identifier
1780912832
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
H584 Issued in NH
Practice address
750 Lafayette Rd
Suite 102
Portsmouth, NH 03801-5407
Phone
(603) 319-1701
Fax
(603) 319-1713
NPI assigned
Dec 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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 H584 NH Primary

Addresses

Primary practice location

750 Lafayette Rd
Suite 102
Portsmouth, NH 03801-5407

Mailing address

485 High St
Hampton, NH 03842-2349
Phone (603) 319-1701

Other identifiers 1

IdentifierTypeStateIssuer
3086157MedicaidNH

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

LicenseStateTypeSpecialty
H584NHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ourlife Inc. Hearing Instrument Specialist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1780912832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HIGH ST",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038422349",
            "telephone_number": "603-319-1701",
            "fax_number": "603-319-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 LAFAYETTE RD",
            "address_2": "SUITE 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015407",
            "telephone_number": "603-319-1701",
            "fax_number": "603-319-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANEUF",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-01",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NH",
            "license": "H584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3086157",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.