John R. Divelbiss, H.I.S.

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1338-060 Issued in WI

Practice address

3610 Oakwood Mall Dr
Ste. 202
Eau Claire, WI 54701-3858

Phone

(715) 514-4380

NPI assigned

May 14, 2010

Last updated

Jan 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1851619878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 OAKWOOD MALL DR",
            "address_2": "STE. 202",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013858",
            "telephone_number": "715-514-4380",
            "fax_number": "715-514-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 OAKWOOD MALL DR",
            "address_2": "STE. 202",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013858",
            "telephone_number": "715-514-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVELBISS",
        "first_name": "JOHN",
        "middle_name": "R.",
        "credential": "H.I.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-14",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1338-060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Renee Dillard
• Jade M Dillman-Stein, CPM, LM
• Chelsey Dillon, OTR/L
• Samantha J Dineen-Prindle
• Dispatchhealth-Arizona
• Jacob Dixon
• Nicole Dodge, MD
• Emad Mustafa Dodin, MD
• Nicole Doering
• Joseph William Dolan, MD

• Hearing Instrument Specialist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Hearing Instrument Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.