Individual provider Active NPI

Leroy Kulpa

  • Audiologist-Hearing Aid Fitter
  • Center Line, MI
National Provider Identifier
1972784833
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
3501000572 Issued in MI
Practice address
8443 Wermuth
Center Line, MI 48015-1747
Phone
(586) 945-5798
Fax
(586) 510-0607
NPI assigned
Nov 20, 2007
Last updated
Sep 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 3501000572 MI Primary
Hearing Aid Equipment 332S00000X 3501000572 MI

Addresses

Primary practice location

8443 Wermuth
Center Line, MI 48015-1747

Mailing address

8443 Wermuth
Center Line, MI 48015-1747
Phone (586) 945-5798

Other identifiers 1

IdentifierTypeStateIssuer
540E017390OtherMIBLUE CROSS BLUE SHIELD

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
3501000572MIMDHearing Aid Equipment

Practice roles

OrganizationSpecialtyStatusNew patients
Eastpointe Hearing Aid Services, LLC Audiologist-Hearing Aid Fitter Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1972784833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8443 WERMUTH",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151747",
            "telephone_number": "586-945-5798",
            "fax_number": "586-510-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8443 WERMUTH",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151747",
            "telephone_number": "586-945-5798",
            "fax_number": "586-510-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULPA",
        "first_name": "LEROY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "3501000572",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MI",
            "license": "3501000572",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "540E017390",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.