Kelly A Degryse, H.I.S.

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

303H Issued in SD

Practice address

1141 Deadwood Ave
Suite 10
Rapid City, SD 57702-0391

Phone

(605) 737-9685

NPI assigned

Jul 16, 2013

Last updated

Jul 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Degryse Hearing Aid Center, Inc.

  dba Beltone

  • Hearing Instrument Specialist
  • Rapid City, SD
  • NPI 1215053244
  NPD (past) Authorized official
• Wolverine Hearing Group, LLC

  • Hearing Aid Equipment
  • Rapid City, SD
  • NPI 1902519838
  NPD (past)
• MLM USA LLC

  dba Beltone Hearing

  • Hearing Aid Equipment
  • Glen Ellyn, IL
  • NPI 1346028404

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1912348129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 DEADWOOD AVE",
            "address_2": "SUITE 10",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020391",
            "telephone_number": "605-737-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 DEADWOOD AVE",
            "address_2": "SUITE 10",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020391",
            "telephone_number": "605-737-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRYSE",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "H.I.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "SD",
            "license": "303H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Hughes
• Ron Edward Defluiter, PT
• Barry J. Degen, CRNA
• Katherine Anne Degen, MD
• Degryse Hearing Aid Center, Inc. (Beltone)
• Matthew Robert Deichert
• Kambra Deitz, LCSW-PIP, RPT-S
• Kayla Jo Dejong, DDS
• Sara Jo Dejong
• Limon Paul Del Rio, PHARMD

• Hearing Instrument Specialist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Hearing Instrument Specialist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.