Active NPI
Manan Hearing LLC
- Hearing Instrument Specialist
- Ballwin, MO
National Provider Identifier
1801166152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2006006561
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hearing Instrument Specialist
- Ballwin, MO
- NPI 1053168856
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.