Individual provider Active NPI

Corey Chad Popelka

  • Hearing Instrument Specialist
  • Cedar Rapids, IA
National Provider Identifier
1801094065
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
00854 Issued in IA
Practice address
4330 Czech LN NE
Suite A4
Cedar Rapids, IA 52402-2334
Phone
(319) 378-8077
Fax
(319) 378-8078
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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 00854 IA Primary

Addresses

Primary practice location

4330 Czech LN NE
Suite A4
Cedar Rapids, IA 52402-2334

Mailing address

5000 Cheshire LN N
Plymouth, MN 55446-3706
Phone (888) 333-9152

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
00854IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Hearing Associates LLC 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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1801094065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CHESHIRE LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463706",
            "telephone_number": "888-333-9152",
            "fax_number": "763-268-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 CZECH LN NE",
            "address_2": "SUITE A4",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022334",
            "telephone_number": "319-378-8077",
            "fax_number": "319-378-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPELKA",
        "first_name": "COREY",
        "middle_name": "CHAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "00854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.