Organization Active NPI

Manan Hearing LLC

  • Hearing Instrument Specialist
  • Ballwin, MO
National Provider Identifier
1801166152
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2006006561 Issued in MO
Legal business name
MANAN HEARING LLC
Doing business as
Manan Hearing Center
Practice address
426 Brooktree Dr
Ballwin, MO 63011-2743
Phone
(314) 757-5619
NPI assigned
Jan 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Mr. L. Baker Shepley Jr., HIS
Title
Owner/Specialist (His)
Phone
(314) 757-5619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 2006006561 MO Primary

Addresses

Primary practice location

426 Brooktree Dr
Ballwin, MO 63011-2743

Mailing address

426 Brooktree Dr
Ballwin, MO 63011-2743
Phone (314) 757-5619

Other names 1

  • Manan Hearing Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1801166152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 BROOKTREE DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112743",
            "telephone_number": "314-757-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 BROOKTREE DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112743",
            "telephone_number": "314-757-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAN HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "SHEPLEY",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "BAKER",
        "authorized_official_title_or_position": "OWNER/SPECIALIST (HIS)",
        "authorized_official_telephone_number": "314-757-5619",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2006006561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manan Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.