Organization Active NPI

Wisconsin Hearing Aid Centers

  • Hearing Aid Equipment
  • Racine, WI
National Provider Identifier
1801002894
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
WISCONSIN HEARING AID CENTERS
Practice address
1300 S Greenbay Rd
Suite 104
Racine, WI 53406-4469
Phone
(262) 634-4500
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Mr. Kim Peterson, H.I.S.
Title
President - Ceo
Phone
(414) 463-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X Primary

Addresses

Primary practice location

1300 S Greenbay Rd
Suite 104
Racine, WI 53406-4469

Mailing address

1300 S Greenbay Rd
Suite 104
Racine, WI 53406-4469
Phone (262) 634-4500

Other identifiers 1

IdentifierTypeStateIssuer
42857700MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Wisconsin Hearing Aid Centers3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1801002894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S GREENBAY RD",
            "address_2": "SUITE 104",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064469",
            "telephone_number": "262-634-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S GREENBAY RD",
            "address_2": "SUITE 104",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064469",
            "telephone_number": "262-634-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN HEARING AID CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT - CEO",
        "authorized_official_telephone_number": "414-463-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "H.I.S."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42857700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.