Active NPI
Affordable Hearing Group, LLC
- Hearing Aid Equipment
- Mishawaka, IN
National Provider Identifier
1861855892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- License
- 17001423A
- Legal business name
- AFFORDABLE HEARING GROUP, LLC
- Practice address
- 130 Roys Dr
Ste a
Mishawaka, IN 46544-1581 - Phone
- (574) 387-4215
- Fax
- (574) 387-4215
- NPI assigned
- Mar 29, 2016
- Last updated
- Mar 29, 2016
- 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. David James Keenan, HIS
- Title
- Owner
- Phone
- (574) 387-4215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | 17001423A | IN | Primary |
Addresses
Primary practice location
130 Roys Dr
Ste a
Mishawaka, IN 46544-1581
Mailing address
130 Roys Dr
Ste a
Mishawaka, IN 46544-1581
Phone (574) 387-4215
National Provider Directory
National Provider DirectoryLocations
130 Roys Dr
Ste A
Mishawaka, IN 46544
Phone (574) 387-4215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459209600000",
"number": "1861855892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 ROYS DR",
"address_2": "STE A",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465441581",
"telephone_number": "574-387-4215",
"fax_number": "574-387-4215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 ROYS DR",
"address_2": "STE A",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465441581",
"telephone_number": "574-387-4215",
"fax_number": "574-387-4215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFORDABLE HEARING GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-29",
"last_updated": "2016-03-29",
"status": "A",
"authorized_official_last_name": "KEENAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "574-387-4215",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "HIS"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "IN",
"license": "17001423A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.