Individual provider Active NPI

Christopher R Martin, HIS

  • Hearing Instrument Specialist
  • Terrytown, LA
National Provider Identifier
1972197085
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA0691 Issued in MS
Practice address
1820 Belle Chasse Hwy Ste 106
Terrytown, LA 70056-7021
Phone
(504) 263-2433
Fax
(504) 263-2457
NPI assigned
Mar 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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 HA0691 MS Primary

Addresses

Primary practice location

1820 Belle Chasse Hwy Ste 106
Terrytown, LA 70056-7021

Mailing address

5750 Johnston St # 502
Lafayette, LA 70503-5334
Phone (337) 417-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Chris.martin@miracle-earla.com Direct Billedeaux Hearing Center, LLC

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
HA0691MSMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Billedeaux Hearing Center, LLC PastSince Mar 7, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chris.martin@miracle-earla.com

Organizations & group practices 1

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1972197085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST # 502",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035334",
            "telephone_number": "337-417-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 BELLE CHASSE HWY STE 106",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567021",
            "telephone_number": "504-263-2433",
            "fax_number": "504-263-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MS",
            "license": "HA0691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chris.martin@miracle-earla.com",
            "affiliation": "Y",
            "affiliationName": "Billedeaux Hearing Center, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4414 Johnston St",
            "address_2": "Suite D",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705034253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.