Active NPI
Wisconsin Hearing Aid Centers
- Hearing Aid Equipment
- Racine, WI
National Provider Identifier
1801002894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42857700 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- Wisconsin Hearing Aid Centers
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hearing Aid Equipment
- Milwaukee, WI
- NPI 1023231446
-
- Hearing Aid Equipment
- Milwaukee, WI
- NPI 1265425128
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.