Active NPI
Deonna L Parks, HEARING AID DISPENSE
- Hearing Instrument Specialist
- Oswego, NY
National Provider Identifier
1982368007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 14000065546
- Practice address
- 11 4TH Ave Ste C
Oswego, NY 13126-1852 - Phone
- (315) 342-6909
- Fax
- (315) 602-5320
- NPI assigned
- Oct 25, 2021
- Last updated
- Oct 26, 2021
- Sex
- Female
- 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 | 14000065546 | NY | Primary |
Addresses
Primary practice location
11 4TH Ave Ste C
Oswego, NY 13126-1852
Mailing address
2501 Cottontail LN
Somerset, NJ 08873-5125
Other practice location 1
1001 James St
Syracuse, NY 13203-2789
Phone (315) 428-0016
Other practice location 2
5320 W Genesee St Ste 300
Camillus, NY 13031-2268
Phone (315) 234-3842
Other practice location 3
240 W Seneca St Ste 3
Manlius, NY 13104-2451
Phone (315) 682-2756
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 |
|---|---|---|---|
| 14000065546 | NY | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1982368007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 COTTONTAIL LN",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088735125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 4TH AVE STE C",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131261852",
"telephone_number": "315-342-6909",
"fax_number": "315-602-5320"
}
],
"practiceLocations": [
{
"address_1": "1001 James St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132032789",
"country_code": "US",
"telephone_number": "315-428-0016",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5320 W Genesee St Ste 300",
"address_purpose": "LOCATION",
"city": "Camillus",
"state": "NY",
"postal_code": "130312268",
"country_code": "US",
"telephone_number": "315-234-3842",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 W Seneca St Ste 3",
"address_purpose": "LOCATION",
"city": "Manlius",
"state": "NY",
"postal_code": "131042451",
"country_code": "US",
"telephone_number": "315-682-2756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKS",
"first_name": "DEONNA",
"middle_name": "L",
"credential": "HEARING AID DISPENSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NY",
"license": "14000065546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.