Individual provider Active NPI

Scott H Hagans

  • Hearing Instrument Specialist
  • Inver Grove Heights, MN
National Provider Identifier
1902190200
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2710 Issued in MN
Practice address
5565 Blaine Ave Ste 225
Inver Grove Heights, MN 55076-1239
Phone
(651) 888-7800
Fax
(651) 888-7801
NPI assigned
Jun 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2710 MN Primary

Addresses

Primary practice location

5565 Blaine Ave Ste 225
Inver Grove Heights, MN 55076-1239

Mailing address

5565 Blaine Ave Ste 225
Inver Grove Heights, MN 55076-1239
Phone (651) 888-7800

Other practice location 1

750 Main St
Ste 106
Mendota Heights, MN 55118-3765
Phone (651) 225-4327

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

LicenseStateTypeSpecialty
2710MNMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1902190200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 BLAINE AVE STE 225",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761239",
            "telephone_number": "651-888-7800",
            "fax_number": "651-888-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 BLAINE AVE STE 225",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761239",
            "telephone_number": "651-888-7800",
            "fax_number": "651-888-7801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Main St",
            "address_2": "Ste 106",
            "address_purpose": "LOCATION",
            "city": "Mendota Heights",
            "state": "MN",
            "postal_code": "551183765",
            "country_code": "US",
            "telephone_number": "651-225-4327",
            "fax_number": "651-225-4332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGANS",
        "first_name": "SCOTT",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inver Grove Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.