Organization Active NPI

Affordable Hearing Group, LLC

  • Hearing Aid Equipment
  • Mishawaka, IN
National Provider Identifier
1861855892
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
17001423A Issued in IN
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.