Active NPI
Sarah Roggenbuck
- Hearing Instrument Specialist
- Bad Axe, MI
National Provider Identifier
1891938478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3501004921
- Practice address
- 1252 Sand Beach Rd
Bad Axe, MI 48413-8817 - Phone
- (989) 269-4327
- Fax
- (989) 269-2251
- NPI assigned
- Apr 13, 2009
- Last updated
- Nov 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3501004921 | MI | Primary |
Addresses
Primary practice location
1252 Sand Beach Rd
Bad Axe, MI 48413-8817
Mailing address
1252 Sand Beach Rd
Bad Axe, MI 48413-8817
Phone (989) 269-4327
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540C20026 | Other | MI | BLUE CROSS BLUE SHIELD |
| 540C21072 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3501004921 | MI | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1891938478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1252 SAND BEACH RD",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484138817",
"telephone_number": "989-269-4327",
"fax_number": "989-269-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1252 SAND BEACH RD",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484138817",
"telephone_number": "989-269-4327",
"fax_number": "989-269-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGGENBUCK",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-13",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MI",
"license": "3501004921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "540C20026",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "540C21072",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bad Axe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.