Active NPI
John Jendrasiak
- Hearing Instrument Specialist
- Norton Shores, MI
National Provider Identifier
1922528439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3501004977
- Practice address
- 3535 Park St Ste 106
Norton Shores, MI 49444-3736 - Phone
- (616) 957-1856
- Fax
- (616) 957-1871
- NPI assigned
- Jun 26, 2017
- Sex
- Male
- 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 | 3501004977 | MI | Primary |
Addresses
Primary practice location
3535 Park St Ste 106
Norton Shores, MI 49444-3736
Mailing address
3535 Park St Ste 106
Norton Shores, MI 49444-3736
Phone (616) 957-1856
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 |
|---|---|---|---|
| 3501004977 | MI | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922528439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 PARK ST STE 106",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494443736",
"telephone_number": "616-957-1856",
"fax_number": "616-957-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 PARK ST STE 106",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494443736",
"telephone_number": "616-957-1856",
"fax_number": "616-957-1871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENDRASIAK",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MI",
"license": "3501004977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norton Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.