Individual provider Active NPI

Dawn R Semancik, MA, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Surprise, AZ
National Provider Identifier
1871896324
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
DA10694 Issued in AZ
Practice address
12691 W Smokey Dr Ste 131
Surprise, AZ 85378-3800
Phone
(623) 583-1737
Fax
(623) 583-0607
NPI assigned
Dec 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X DA10694 AZ Primary

Addresses

Primary practice location

12691 W Smokey Dr Ste 131
Surprise, AZ 85378-3800

Mailing address

4400 N 32ND St Ste 220
Phoenix, AZ 85018-3965
Phone (623) 512-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171127001157 AZ Practitioner - Qualified Audiologist 5395924070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grusecki Audiology and Hearing AidGroup PAC ID 0840614707, 2 clinicians

Practice addresses (Care Compare)

12133 W Bell Rd
Suite 201
Surprise, AZ 85378-9408
Phone (623) 583-1737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
DA10694AZMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Grusecki Audiology & Hearing Aid CurrentSince May 1, 2021 Accepting new patients
Biltmore Ear Nose and Throat, PC Audiologist CurrentSince Dec 10, 2018 Accepting new patients
Arizona Hearcare Network, Inc Audiologist-Hearing Aid Fitter PastSince Jun 22, 2021 Accepting new patients

Locations

13555 W McDowell Rd
Ste 202
Goodyear, AZ 85395
Phone (623) 512-4100

4400 N 32nd St
Ste 220
Phoenix, AZ 85018
Phone (480) 848-7030

1010 E McDowell Rd
Ste LL1
Phoenix, AZ 85006
Phone (602) 317-1006

1010 E McDowell Rd
Ste 206
Phoenix, AZ 85006
Phone (330) 518-5329

12133 W Bell Rd
Ste 201
Surprise, AZ 85378
Phone (623) 229-5825

12691 W Smokey Dr
Ste 131
Surprise, AZ 85378
Phone (623) 583-1737

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1871896324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N 32ND ST STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183965",
            "telephone_number": "623-512-4100",
            "fax_number": "623-512-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12691 W SMOKEY DR STE 131",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853783800",
            "telephone_number": "623-583-1737",
            "fax_number": "623-583-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMANCIK",
        "first_name": "DAWN",
        "middle_name": "R",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA10694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.